Rafael Ivan Gracia, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

57974 Issued in MA

Practice address

1 Washington St
CCBC
Taunton, MA 02780-3960

Phone

(508) 823-5400

Fax

(508) 880-7114

NPI assigned

Jul 14, 2006

Last updated

Dec 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Community Counseling of Bristol County, Inc.

  dba CCBC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1730215781
  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  dba Brockton Multi Service center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1326155458
  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  dba Taunton State Hospital

  • Psychiatric Hospital
  • Taunton, MA
  • NPI 1922101724
  Medicare reassignment NPD
• Community Counseling of Bristol County Inc

  • Home Health Agency
  • Taunton, MA
  • NPI 1659791515
  NPD
• The Commonwealth of Massachusetts

  dba Soldiers' Home in Holyoke

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  NPD
• Healthy Minds L.L.C.

  • Clinical Social Worker
  • Sumter, SC
  • NPI 1396889655
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1073539276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LITTLE POND COUNTY RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642810",
            "telephone_number": "401-787-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "CCBC",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803960",
            "telephone_number": "508-823-5400",
            "fax_number": "508-880-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "RAFAEL",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "57974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Goulart
• Christopher Gousie
• Renee Gouthro
• Vihasa Govada, MD
• Margaret Elizabeth Govednik
• Kari Anne Graham, MED
• Jennifer Grant
• Sarah Graslie
• William Graves
• Devon Robert Gray

• Psychiatry Physician in Taunton, MA
• Providers in Taunton, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.