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

Dr. Lauren Perry Blake, PSYD

Individual provider Clinical Neuropsychologist · NPI 1912640046

Dr. Lauren Perry Blake, PSYD is a Clinical Psychologist in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Banner Alzheimers Institute, a 30-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2022
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

901 E Willetta St
Phoenix, AZ 85006-2727
Phone: (602) 839-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY-005433 (AZ)

Record details

NPI number1912640046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 17, 2022
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner Alzheimers Institute — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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