Active NPI
David L. Raffle, PH.D.
- Clinical Psychologist
- Carmel, IN
National Provider Identifier
1396979514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043200A
- Practice address
- 301 E Carmel Dr Ste E100
Carmel, IN 46032-2892 - Phone
- (800) 450-9799
- Fax
- (317) 947-1614
- NPI assigned
- May 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043200A | IN | Primary |
Addresses
Primary practice location
301 E Carmel Dr Ste E100
Carmel, IN 46032-2892
Mailing address
301 E Carmel Dr Ste E100
Carmel, IN 46032-2892
Phone (800) 450-9799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
354 Uluniu St
Suite 412
Kailua, HI 96734-2533
Phone (800) 450-9799
5048 Iroquois Ave
Ewa Beach, HI 96706-3364
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043200A | IN | MD | Clinical Psychologist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1396979514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E CARMEL DR STE E100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322892",
"telephone_number": "800-450-9799",
"fax_number": "317-947-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E CARMEL DR STE E100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322892",
"telephone_number": "800-450-9799",
"fax_number": "317-947-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFLE",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043200A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.