Active NPI
Mellie Inc
- Case Manager/Care Coordinator
- San Francisco, CA
National Provider Identifier
1710761077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- MELLIE INC
- Doing business as
- Mellie
- Practice address
- 44 Montgomery St
San Francisco, CA 94104-4602 - Phone
- (415) 869-6114
- NPI assigned
- Aug 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Dobronravova
- Title
- Director of Care
- Phone
- (415) 869-6114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
44 Montgomery St
San Francisco, CA 94104-4602
Mailing address
3145 Geary Blvd # 724
San Francisco, CA 94118-3316
Other names 1
- Mellie
National Provider Directory
National Provider DirectoryLocations
3145 Geary Blvd
San Francisco, CA 94118
Phone (415) 272-1112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692316800000",
"number": "1710761077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 GEARY BLVD # 724",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 MONTGOMERY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044602",
"telephone_number": "415-869-6114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELLIE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A",
"authorized_official_last_name": "DOBRONRAVOVA",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "DIRECTOR OF CARE",
"authorized_official_telephone_number": "415-869-6114"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mellie",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.