Mr. Blake Mitchell Gilbert
Mr. Blake Mitchell Gilbert is a Clinical Psychologist in Sterling, Illinois. Qualified in 2019, 7 years ago. Practices with Southeast Human Service Center, a 29-clinician group and accepts Medicare assignment. Licensed in North Dakota.
- Years since qualifying
- 7
- Licensed in
- ND
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
2611 Woodlawn RdSterling, IL 61081-4151
Phone: (815) 625-0013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 599 (ND) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1578996567 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2013 |
| Last updated in NPPES | October 14, 2020 |
| Certification date | October 14, 2020 |
| Mailing address | 2624 9th Ave S, Fargo, ND 58103-2350 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Southeast Human Service Center — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |