Organization Active NPI

David L. Raffle, PHD, Inc., a Psychological Corporation

  • Psychologist
  • Kailua, HI
National Provider Identifier
1578991691
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY25732 Issued in CA
Legal business name
DAVID L. RAFFLE, PHD, INC., A PSYCHOLOGICAL CORPORATION
Practice address
354 Uluniu St Ste 412
Kailua, HI 96734-2533
Phone
(800) 450-9799
Fax
(317) 947-1614
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Dr. David L. Raffle, PH.D.NPI 1396979514
Title
President
Phone
(800) 450-9799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY25732 CA Primary

Addresses

Primary practice location

354 Uluniu St Ste 412
Kailua, HI 96734-2533

Mailing address

PO Box 489
Kailua, HI 96734-0489
Phone (800) 450-9799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181229000152 IN Part B Supplier - Clinic/Group Practice 3173754124 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20241024004425 HI Part B Supplier - Clinic/Group Practice 3173754124 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua, HI

National Provider Directory

National Provider Directory

Locations

354 Uluniu St
Ste 412
Kailua, HI 96734
Phone (800) 450-9799

301 E Carmel Dr
Ste E100
Carmel, IN 46032
Phone (800) 450-9799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1578991691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967340489",
            "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": "354 ULUNIU ST STE 412",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342533",
            "telephone_number": "800-450-9799",
            "fax_number": "317-947-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. RAFFLE, PHD, INC., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "RAFFLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-450-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.