NPPES file of Aug 9, 2026

Timothy G. Blake, LP

Psychologist · Minneapolis, MN

Timothy G. Blake, LP is a psychologist with a practice address in Minneapolis, Minnesota, and NPI 1568796613, issued on Sep 22, 2009. Check the license (Minnesota 5115, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568796613
Name
Timothy G. Blake
Credential
LP
Primary taxonomy
Psychologist 103T00000X
License number
5115 MN
Self-reported in NPPES; status is on the state search
Practice location
2649 Park Ave, Minneapolis, MN 55407
Phone
(612) 676-1604
Enumerated
Sep 22, 2009
Record last updated
Mar 11, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(612) 379-8235
Medicare enrollment
Enrolled (PECOS I20161116002201); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 2649 Park Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stephen Calvit, LICSWClinical Social Worker1871722371
  2. Jillian Ellingson, LPCCProfessional Counselor1891027454
  3. Suong Goodhart, LMFTMarriage & Family Therapist1043450364
  4. Jane Hurley-Johncox, LICSWClinical Social Worker1710019567
  5. Vessela KounevaMarriage & Family Therapist1124080742
  6. John Lampert, LMFTMarriage & Family Therapist1801038989

Verify Timothy G. Blake in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license 5115
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

The practice group's MIPS final score for 2023 (Medicare payment program): 83.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.8
  2. Costout of 100 · 30%63.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Allina Health SystemSt Paul, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Timothy G. Blake among 1,694 psychologist records in Minnesota

Timothy G. Blake, LP is one of 1,694 psychologist records with a practice address in Minnesota. 22% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 62% of them.

  • NPI issued2009 · 62% of these records are older, 34% newer
  • In a Medicare fileYes · 22% of these records are
  • In the CMS Doctors and Clinicians fileYes · 25% of these records are
  • Graduated1994 · median 2007 among the 427 with a school on file
  • Record last updated2021 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

334 psychologist records list a practice address in Minneapolis

They are 334 of the 22,918 NPPES records with a practice address in Minneapolis, and 1,694 psychologist records in Minnesota.

The 8 psychologist records with the nearest ZIP codes

  1. Theresa Bernard, PSYD, LPMinneapolis, MN 554071831264977
  2. Brent Betterley, LPMinneapolis, MN 554071326194424
  3. Jennifer Born, PSY.D, LPMinneapolis, MN 554071760611933
  4. Patricia Brenneman, MA, LPMinneapolis, MN 554071902956691
  5. Linda Deters, PSY.D., L.P.Minneapolis, MN 554071225379381
  6. David Dubois, MASTERS OF ARTSMinneapolis, MN 554071720084502
  7. Nina Holiday-Lynch, LPMinneapolis, MN 554071336248053
  8. Derek Prowe, PSYDMinneapolis, MN 554071699924639

Common questions

What is Timothy G. Blake, LP's NPI number?

Timothy G. Blake, LP's National Provider Identifier (NPI) is 1568796613, issued on Sep 22, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Timothy G. Blake, LP located?

The NPPES record lists a practice address at 2649 Park Ave, Minneapolis, MN, 55407. Phone: (612) 676-1604. Providers update this record themselves, so call before visiting.

How can I verify Timothy G. Blake, LP's license?

NPPES lists Minnesota license number 5115, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

What is Timothy G. Blake, LP's MIPS final score?

The 2023 MIPS final score is 83.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.