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

Kristin E Blake, MD, LAC

Individual provider Psychiatry Physician · NPI 1205252806

Kristin E Blake, MD, LAC is a Psychiatry in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2021, 5 years ago. Licensed in Wisconsin.

Years since qualifying
5
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-2888
Phone: (608) 263-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 81199 (WI)

Record details

NPI number1205252806
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , LAC
Sole proprietorNo
NPI enumeratedMarch 7, 2014
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address600 Highland Ave, Madison, WI 53792-2888

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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