Rafaelian Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RAFAELIAN PSYCHIATRY LLC

Practice address

1803 W March LN Ste D
Stockton, CA 95207-6414

Phone

(678) 690-7184

NPI assigned

Sep 11, 2020

Last updated

Apr 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olga Rafaelian, MDNPI 1295059038

Title

Owner

Phone

(239) 851-8147

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olga Alexandrovna Rafaelian, M.D.

  • Psychiatry Physician
  • Stockton, CA
  • NPI 1295059038
  Authorized official Same address or phone

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1225643703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 WESTPORT LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165418",
            "telephone_number": "239-851-8147",
            "fax_number": "727-954-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W MARCH LN STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076414",
            "telephone_number": "678-690-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 W March Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076414",
            "country_code": "US",
            "telephone_number": "678-690-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAFAELIAN PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "RAFAELIAN",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-851-8147",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Medical Medical Group
• Radiology Vision LLC
• Ellen S. Raemsch, MD
• Paula Joan Raeside
• Aliyah Rafael
• Olga Alexandrovna Rafaelian, M.D.
• Jennifer S. Rafanan
• Ilene Carol Ragland
• Kiara Ragsdale-Smith
• Vanessa Rahimi

• Psychiatry Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.