Organization Active NPI

Mellie Inc

  • Case Manager/Care Coordinator
  • San Francisco, CA
National Provider Identifier
1710761077
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Aug 18, 2023

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.