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

Blake Bettis, PSYD

Individual provider Psychologist · NPI 1003650813

Blake Bettis, PSYD is a Clinical Psychologist in Madison, Wisconsin. Qualified in 2021, 5 years ago. Practices with Richard Kneip PHD PC, a 243-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2024
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1750 Fordem Ave Apt 704
Madison, WI 53704-7135
Phone: (470) 331-2534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 5124-57 (WI)

Record details

NPI number1003650813
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 25, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 24, 2024
Mailing address1750 Fordem Ave Apt 704, Madison, WI 53704-7135

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Richard Kneip Phd Pc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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