Blake Gimbel, PHD is a
Clinical Neuropsychologist based in Columbus, Ohio. Blake Gimbel is licensed to practice in Ohio (license number P.08718) and his current practice location is
700 Childrens Dr, Columbus, Ohio. He can be reached at his office (for appointments etc.) via phone at
(614) 722-4700.
NPI number for Blake Gimbel is 1548713829 and his current mailing address is 700 Childrens Dr, Columbus, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548713829.
Healthcare Provider's Profile
| Full Name | Blake Gimbel |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 700 Childrens Dr, Columbus, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548713829
- Provider Enumeration Date: 08/03/2016
- Last Update Date: 04/10/2025
Medical Identifiers
Medical identifiers for Blake Gimbel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548713829 | NPI | - | NPPES |
| 0080896 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | P.08718 (Ohio) | Secondary |
| 103G00000X | Clinical Neuropsychologist | P.08718 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Gimbel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Blake Gimbel, PHD
700 Childrens Dr,
Columbus, OH 43205-2639
Ph: (614) 722-2000 | Blake Gimbel, PHD
700 Childrens Dr,
Columbus, OH 43205-2639
Ph: (614) 722-4700 |
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