OrganizationActive
Melanie Illich MD PA
NPI 1699879288 · Psychiatry Physician · Waco, TX
Provider details
- NPI number
- 1699879288
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melanie Illich, President(254) 772-2006
- License
- J2104 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213a Old Hewitt Rd
Waco, TX 76712
Phone: (254) 772-2006
Fax: (254) 772-2011
Street-level locationGet directions
Mailing address
Po Box 23289
Waco, TX 76702
Other names (DBA / former)
- Doing business as
- Melanie Illich MD PA
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2013-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.