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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356916324

Fabianne Blake, PSYD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2
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

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4797
Fax: (718) 798-1816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 026276 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356916324
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 23, 2021
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

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