Stephen M. Raffle, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G16478 Issued in CA

Practice address

35 Wolfe Grade
Kentfield, CA 94904-1011

Phone

(415) 461-4845

Fax

(415) 461-4039

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Stephen M. Raffle, M.D. & Associates

  • Legal Medicine
  • Kentfield, CA
  • NPI 1073610606
  NPD (past) Authorized official

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1316188618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WOLFE GRADE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041011",
            "telephone_number": "415-461-4845",
            "fax_number": "415-461-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WOLFE GRADE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041011",
            "telephone_number": "415-461-4845",
            "fax_number": "415-461-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFLE",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "G16478",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G16478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles George Peterfy, M.D., PH.D.
• Irina Pfening
• Physiotherapy Associates Inc (Select Physical Therapy)
• Tamena Potts
• Vanessa Powers
• Archimedes Ramirez, M.D.
• Aashka Raval, P.T.
• Michael Edwin Rees
• Donna Reeve
• Robert Philippe Reiser, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.