Seth A Rafal, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

157068 Issued in MA

Practice address

91 Wyman St
Waban, MA 02468-1529

Phone

(617) 332-7596

NPI assigned

Mar 20, 2007

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)

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 and National Provider Directory roles.

• Mary Pantuhova, Psy.D., LLC

  • Clinical Psychologist
  • Waban, MA
  • NPI 1023284460
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346365293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BEAUMONT AVE",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024602330",
            "telephone_number": "617-332-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 WYMAN ST",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681529",
            "telephone_number": "617-332-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAL",
        "first_name": "SETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "157068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Friedman Ross, Licsw, Inc
• Eileen Polasky, LICSW
• Sanford Marvin Portnoy, PH.D.
• Bonnie Cohen Press, LICSW
• Richard Harvey Price, DMD
• Marybeth Reardon, M.S.,R.D., L.D.N
• Charles J Reilly, ED.D.
• RHT Therapy LLC
• Sheldon Roth, M.D.
• Terry Chen Rothchild, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.