Active NPI
David L. Raffle, PHD, Inc., a Psychological Corporation
- Psychologist
- Kailua, HI
National Provider Identifier
1578991691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY25732
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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, HI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.