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

Dr. Robert R. Blake, PHD

Individual provider Clinical Psychologist · NPI 1457387466

Dr. Robert R. Blake, PHD is a Clinical Psychologist in Indianapolis, Indiana. Qualified in 1969, 57 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
57
Licensed in
IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

8433 Harcourt Rd Ste 200
Indianapolis, IN 46260-2190
Phone: (317) 338-4692
Fax: (317) 338-4693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20040385 (IN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 20040385 (IN)
Health Service Psychologist Taxonomy 103TH0100X · Licence 20040385 (IN)

Record details

NPI number1457387466
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 23, 2006
Last updated in NPPESNovember 25, 2022
Certification dateNovember 25, 2022
Mailing address7974 N Illinois St, Indianapolis, IN 46260-2971

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1969 (57 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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