JASON RAFFERTY (NPI# 1104186089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104186089 |
| Entity Type | Individual |
| Full Name | JASON RAFFERTY |
| Credential | M.D. |
| Practice Address |
450 Clinton St Woonsocket RI 02895-3207 |
| Practice Telephone | (401) 767-4161 |
| Practice Fax Number | 4017675441 |
| Mailing Telephone | (401) 767-4161 |
| Mailing Fax Number | 4017675441 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD15957 | RI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD15957 | RI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD15957 | RI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 593 Eddy St, Providence, RI 029034923 | 4014443762 | 4014448879 |
| Street Address |
450 CLINTON ST |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427024108 | Robert Joseph Robbio | Family Medicine | 450 Clinton St, Woonsocket, RI 02895-3207 | 2006-02-23 |
| 1366056830 | Thundermist Health Center | Clinic/Center | 450 Clinton St, Woonsocket, RI 02895-3207 | 2020-09-02 |
| 1447876206 | Carine Marie Saint Felix | Student in an Organized Health Care Education/Training Program | 450 Clinton St, Woonsocket, RI 02895-3207 | 2020-06-17 |
| 1295361665 | Lutdavone Kitta Kompradith | Nurse Practitioner | 450 Clinton St, Woonsocket, RI 02895-3207 | 2020-03-18 |
| 1639701659 | Laura Tuscani | Counselor | 450 Clinton St, Woonsocket, RI 02895-3207 | 2020-02-07 |
| 1972153179 | Maleny Fitzpatrick | Nurse Practitioner | 450 Clinton St, Woonsocket, RI 02895-3207 | 2019-09-19 |
| 1992355317 | Sarah Eva Schwarzschild | Nurse Practitioner | 450 Clinton St, Woonsocket, RI 02895-3207 | 2019-09-17 |
| 1003463316 | Kristen Ann Chapian | Nurse Practitioner | 450 Clinton St, Woonsocket, RI 02895-3207 | 2019-08-21 |
| 1679138481 | Danielle Smith | Nurse Practitioner | 450 Clinton St, Woonsocket, RI 02895-3207 | 2019-05-07 |
| 1942777677 | Amarpreet Kaur Gill | Nurse Practitioner | 450 Clinton St, Woonsocket, RI 02895-3207 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| 1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
| 1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
| 1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
| 1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
| 1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
| 1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
| 1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
| Find all providers in zip 02895 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346258209 | Benjamin David Lederer | Psychiatry & Neurology | 55 John E Cummings Way, Woonsocket, RI 02895-3301 | 2006-08-04 |
| 1194810507 | Nebyou Belay | Psychiatry & Neurology | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893982 | Antra Bami | Psychiatry & Neurology | 593 Eddy St # 122, Providence, RI 02903 | 2013-07-12 |
| 1558580217 | Pratarnporn Feinstein | Psychiatry & Neurology | 210 8th St, Providence, RI 02906-5001 | 2007-04-24 |
| 1861511214 | Ginger L Manzo | Psychiatry & Neurology | 2 Wake Robin Rd Unit 206, Lincoln, RI 02865-4241 | 2007-03-28 |
| 1033270459 | Gregory Paul Stiener | Psychiatry & Neurology | 339 Angell St, Providence, RI 02906-3245 | 2006-12-12 |
| 1417904988 | Alexander Scagnelli, M.d.,p.c. | Psychiatry & Neurology | 469 Centerville Rd Ste 103, Warwick, RI 02886-4355 | 2006-05-28 |
| 1932172236 | Beverly A Myers | Psychiatry & Neurology | 1087 Warwick Av, Warwick, RI 02888 | 2006-02-08 |
| 1003886631 | David C Savitzky | Psychiatry & Neurology | 311 Doric Ave, Cranston, RI 02680 | 2006-01-25 |
| 1396728200 | Marshall Benjamin Wold | Psychiatry & Neurology | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2005-11-23 |
| 1053804625 | Phillip Sojka | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-08 |
| 1699202176 | Mudit Kumar | Psychiatry & Neurology | 593 Eddy Street, Rhode Island Hospital, Providence, RI 02903 | 2017-05-16 |
| Find all providers with the same taxonomy | ||||
| City | WOONSOCKET |
| Zip Code | 02895 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.