Evan Rafferty

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

13 Thompson Hay Path
Setauket, NY 11733-1317

Phone

(631) 751-0197

NPI assigned

Oct 14, 2013

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Welllife Network Inc

  • Case Management Agency
  • Elmont, NY
  • NPI 1508012816
  NPD (past)

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1174951925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 ACKERSON BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063848",
            "telephone_number": "631-398-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 THOMPSON HAY PATH",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331317",
            "telephone_number": "631-751-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Pope, FNP
• Port Jefferson Chiropractic Office PC
• Port Jefferson Emergency Medical Care
• Jeffrey Porte, M.D.
• Joseph J Pulaski
• Rena Ferguson, MD, PC
• Resilience Psychiatry, PC
• Maureen Theresa Reyes
• Reynolds Chiropractic & Acupuncture PLLC
• William B. Reynolds, D.C.

• Mental Health Counselor in Setauket, NY
• Providers in Setauket, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.