Melanie Jo Drake MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MELANIE JO DRAKE MD PLLC

Practice address

3350 Americana Terrace
Suite 360-C
Boise, ID 83706

Phone

(208) 722-0899

Fax

(208) 205-8031

NPI assigned

Sep 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melanie Jo Drake, MDNPI 1801236575

Title

Owner

Phone

(208) 722-0899

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Jo Drake, MD

  • Psychiatry Physician
  • Boise, ID
  • NPI 1801236575
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1194550111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 S VISTA AVE PMB 235",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83705",
            "telephone_number": "208-722-0899",
            "fax_number": "208-205-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 AMERICANA TERRACE",
            "address_2": "SUITE 360-C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-722-0899",
            "fax_number": "208-205-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE JO DRAKE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-722-0899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Condon Meier, MD
• Rachael Elizabeth Meiners, RN
• Scott Regan Meissner, D.C.
• Stephanie Francine Mejia
• Melanie Henstrom Lactation
• Markus Melbardis, PHARMD
• Angela Melbihess
• Eric Melbihess, MD
• Walter James Meldrum, CADC, BS, QSUDP
• Melissa Ruth LCPC LLC

• Psychiatry Physician in Boise, ID
• Providers in Boise, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.