Individual provider Active NPI

Pamela D Drake, M.D.

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1831230937
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35066187 Issued in OH
Practice address
2033 Wood St Ste 220
Sarasota, FL 34237-7927
Phone
(941) 677-3366
Fax
(941) 677-3367
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35066187 OH Primary

Addresses

Primary practice location

2033 Wood St Ste 220
Sarasota, FL 34237-7927

Mailing address

2033 Wood St Ste 220
Sarasota, FL 34237-7927
Phone (941) 677-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825003233 FL Practitioner - Psychiatry 2163680687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Ohio, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMS Neurohealth Florida PLLCGroup PAC ID 2163854175, 13 clinicians

Practice addresses (Care Compare)

2601 Cattlemen Rd
Suite 104
Sarasota, FL 34232-6282
Phone (941) 313-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35066187OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Neurohealth Florida PLLC Psychiatry CurrentSince Mar 3, 2020 Accepting new patients
Center of Revitalizing Psychiatry, P.C. Psychiatry CurrentSince Mar 17, 2017 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Mar 17, 2017 Accepting new patients

Locations

5101 4th Avenue Cir E
Ste 200
Bradenton, FL 34208
Phone (941) 744-5510

5101 4th Avenue Cir E
Ste A
Bradenton, FL 34208

5227 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 755-3456

2033 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 677-3366

2601 Cattlemen Rd
Ste 104
Sarasota, FL 34232
Phone (941) 313-8282

147 2nd Ave S
Ste 303
St Petersburg, FL 33701
Phone (727) 290-6170

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pamela.drake.1@18773.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1831230937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 WOOD ST STE 220",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377927",
            "telephone_number": "941-677-3366",
            "fax_number": "941-677-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 WOOD ST STE 220",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377927",
            "telephone_number": "941-677-3366",
            "fax_number": "941-677-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "PAMELA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35066187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.