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ANN-MARIE RAPHAIL PHD
NPI 1023752235
Clinical Neuropsychologist in West Haven, CT

Active since April 24, 2022PECOS EnrolledAccepts Medicare Assignment
950 CAMPBELL AVE, WEST HAVEN, CT 06516(203) 932-5711 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Apr 24, 2022 (2 updates tracked since 2022).

About Ann-marie Raphail Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANN-MARIE RAPHAIL PHD (NPI 1023752235) is an individual clinical neuropsychologist in West Haven, Connecticut, licensed in New Jersey (35SI00703100) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Drexel University College Of Medicine (2020).

NPPES Registry Identity

NPI1023752235
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameANN-MARIE RAPHAILCredential: PHD
Location Address950 CAMPBELL AVEWest Haven, CT 06516-2770
Mailing Address185 Canal St Unit 3004Shelton, CT 06484-8135 · (551) 265-0985
Phone(203) 932-5711
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2020
Enumeration DateApril 24, 2022
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1023752235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NJ · 35SI00703100
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X
950 CAMPBELL AVE, West Haven, CT 06516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ann-marie Raphail Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193188787
PECOS Enrollment IDI20230830000777
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ann-marie Raphail reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Scleroderma Program
95 mi
Psychiatry
675 HOES LN W
Piscataway, NJ 08854
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
NPI 1316222664 (732) 235-4402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
205 services28 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
80 services37 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
79 services11 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
61 services39 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
39 services38 patients
Exam of neurobehavioral status, each additional hour 96121
This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE LIN PHARMD
Pharmacist (Ambulatory Care)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
NICHOLAS ANDREW VISSICCHIO PH.D.
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DEVON MACKAY LMSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MR. JAMES MICHAEL ALEKSUNES
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MRS. TRACEY PASCARELLA RD
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DR. ANTHONY JAMES LISI D.C.
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. EVANGELINE BENOIT
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. MELISSA ANN SIMONE LCSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (860) 694-4875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ann-marie Raphail's NPI number?

The NPI number for Ann-marie Raphail is 1023752235. It was assigned to this individual provider in the NPPES registry on April 24, 2022.

Where is Ann-marie Raphail located?

Ann-marie Raphail practices at 950 Campbell Ave, West Haven, CT 06516. The listed phone number is (203) 932-5711.

What is Ann-marie Raphail's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Ann-marie Raphail enrolled in Medicare?

Yes. Ann-marie Raphail is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ann-marie Raphail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann-marie Raphail reassigns Medicare benefits to Rutgers Health-Rwj Scleroderma Program (Piscataway, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann-marie Raphail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ann-marie Raphail accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ann-marie Raphail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ann-marie Raphail affiliated with any hospitals?

According to CMS data, Ann-marie Raphail is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Ann-marie Raphail was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.