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NPI 1891132924 · live from the CMS NPI Registry

Jonathan Drake, M.D.

Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1891132924, active.

NPI record

NPI1891132924 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location593 Eddy St, Apc 5, Providence, RI 02903
Practice phone401-444-6440
Mailing address15 La Salle Sq, Providence, RI 02903
EnumeratedMay 30, 2013
Last updatedOctober 14, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology primary2084N0400XMD15921 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.