Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Blake Bazel PHD PA

Organization Clinical Psychologist · NPI 1467792697

Dr Blake Bazel PHD PA is a Clinical Psychologist in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1677 Wells Rd Ste A
Orange Park, FL 32073-6799
Phone: (904) 272-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 8593 (FL)

Record details

NPI number1467792697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Bazel — Psychologist · (904) 272-0043
NPI enumeratedFebruary 25, 2013
Last updated in NPPESApril 23, 2013
Mailing address1677 Wells Rd, Suite A, Orange Park, FL 32073-6799

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