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

Dr. Cameron Blake, PSYD

Individual provider Clinical Psychologist · NPI 1881542728

Dr. Cameron Blake, PSYD is a Clinical Psychologist in Hoschton, Georgia. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2026
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

4073 Highway 53
Hoschton, GA 30548-2305
Phone: (770) 882-5884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY004287 (GA)

Record details

NPI number1881542728
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing addressPo Box 471, Bethlehem, GA 30620-0471

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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