Individual provider · Type 1 NPI

Kristin E. Blake, MD, L.AC.

Child & Adolescent Psychiatry Physician · Madison, WI

NPI number 1205252806 Active

Practice location

6001 Research Park Blvd
Madison, WI 53719-1176

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X81199 (WI)
Child & Adolescent Psychiatry Physician Primary 2084P0804X81199-20 (WI)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1205252806

Kristin E. Blake, MD, L.AC.'s National Provider Identifier is 1205252806, issued on Mar 7, 2014. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Madison, WI. The record was last updated on Sep 14, 2026.