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THEODORA C RAFT NP, PC
NPI 1053063347
Nurse Practitioner - Psychiatric/Mental Health in East Setauket, NY

Active since January 19, 2022
290 MAIN ST, EAST SETAUKET, NY 11733(631) 751-0441 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodora C Raft Np, Pc NPPES

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

THEODORA C RAFT NP, PC (NPI 1053063347) is a healthcare organization registered as a psychiatric/mental health in East Setauket, New York and active in the NPI registry since January 2022. The organization lists Theodora C Raft, Np, as its authorized official.

NPPES Registry Identity

NPI1053063347
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHEODORA C RAFT NP, PC
Location Address290 MAIN STEast Setauket, NY 11733-2871
Mailing Address7 Crest CtMiddle Island, NY 11953-2135
Phone(631) 751-0441
Organization SubpartNo
Authorized OfficialTheodora C RaftNp · (631) 617-2416
Enumeration DateJanuary 19, 2022
NPPES CertifiedJanuary 19, 2022
✔ NPI 1053063347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
290 MAIN ST, East Setauket, NY 11733
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

CHRISTINA STERN NURSE PRACTITIONER IN PSYCHIATRY P.C.
Nurse Practitioner (Psychiatric/Mental Health)
290 MAIN ST
EAST SETAUKET, NY 11733
Suffolk County (631) 275-6694
ALICE WOODSON WHITE
Community/Behavioral Health
290 MAIN ST, SUITE 5A
SETAUKET, NY 11733
Suffolk County (631) 675-9494
MRS. JENNIFER A SMIAROWSKI LCSW-R
Social Worker (Clinical)
290 MAIN ST
EAST SETAUKET, NY 11733
Suffolk County (631) 751-6816
CHRISTINA STERN
Nurse Practitioner (Psychiatric/Mental Health)
290 MAIN ST
EAST SETAUKET, NY 11733
Suffolk County (631) 265-6868
BARBARA L KANTZ M.S.W.
Social Worker (Clinical)
290 MAIN ST
EAST SETAUKET, NY 11733
Suffolk County (631) 246-9878
DR. CHRISTOPHER KEARNEY PSY.D
Psychologist (Counseling)
290 MAIN ST
EAST SETAUKET, NY 11733
Suffolk County (631) 740-7078

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 Theodora C Raft Np, PC's NPI number?

The NPI number for Theodora C Raft Np, PC is 1053063347. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Theodora C Raft Np, PC located?

Theodora C Raft Np, PC is located at 290 Main St, East Setauket, NY 11733. The listed phone number is (631) 751-0441.

What is Theodora C Raft Np, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Theodora C Raft Np, PC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.