DR. ROBERT R. BLAKE (PH.D.) – Psychologist, NPI 1457387466
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
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Provider Addresses for DR. ROBERT R. BLAKE (PH.D.)
7974, North Illinois Street, Spring Mill Woods, Indianapolis, Marion County, Indiana, 46260, United States
INDIANAPOLIS, IN 462602971
Phone: (317) 338-4692
Fax: (317) 338-4693
Type: Mailing
Harcourt Road, Indianapolis, Indiana, 46260, United States
SUITE 200
INDIANAPOLIS, IN 462602190
Phone: (317) 338-4692
Fax: (317) 338-4693
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100722000509 | I | Clinical Psychologist | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 69 | 69 | $0 |
| 96130 | Evaluation of psychological test, first hour | 63 | 63 | $0 |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 62 | 62 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 61 | 61 | $0 |
Insurance plans in this area (ZIP 46260)
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