JOY BLAKESLEE MA WSC NPI 1003322132

NPI Information

  • NPI: 1003322132
  • Provider Name: JOY BLAKESLEE, MA, WSC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Individual
  • Address: 3100 COLUMBRINA CIR
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Phone: (772) 212-5695

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NPI Details

Joy Blakeslee, MA, WSC is a developmental disabilities clinic center in Port Saint Lucie, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Joy Blakeslee, MA, WSC NPI is 1003322132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 COLUMBRINA CIR
PORT SAINT LUCIE, FL
ZIP 34952-334
Phone: (772) 212-5695
Fax: (772) 361-6350

The enumeration date for this NPI number is 12/27/2017 and was last updated on 12/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021924900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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