DR. CHARLES JOHN DRAKE III PSY.D.
NPI 1326474933
Psychologist - Clinical in Lancaster, CA

Active since September 16, 2013PECOS Enrolled
44750 60TH ST W, LANCASTER, CA 93536(661) 729-2000 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Charles John Drake Iii Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES JOHN DRAKE III PSY.D. (NPI 1326474933) is an individual clinical provider in Lancaster, California, licensed in California (PSY21245) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1326474933
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHARLES JOHN DRAKE IIICredential: PSY.D.
Location Address44750 60TH ST WLancaster, CA 93536-7619
Mailing Address44750 60th St WLancaster, CA 93536-7619 · (661) 729-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 16, 2013
✔ NPI 1326474933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY21245
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
44750 60TH ST W, Lancaster, CA 93536

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles John Drake Iii Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254817158
PECOS Enrollment IDI20260109003817
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Drake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Social Worker (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Counselor (Mental Health)
44750 60TH ST W
LANCASTER, CA 93536
Student in an Organized Health Care Education/Training Program
44750 60TH ST W
LANCASTER, CA 93536
Psychologist (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Psychologist (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Dentist
44750 60TH ST W
LANCASTER, CA 93536
Student in an Organized Health Care Education/Training Program
44750 60TH ST W
LANCASTER, CA 93536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Drake's NPI number?

The NPI number for Charles Drake is 1326474933. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Where is Charles Drake located?

Charles Drake practices at 44750 60th St W, Lancaster, CA 93536. The listed phone number is (661) 729-2000.

What is Charles Drake's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Charles Drake enrolled in Medicare?

Yes. Charles Drake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Drake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Drake reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Drake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Drake was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.