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JASON RAFFERTY M.D.
NPI 1104186089
Psychiatry & Neurology - Child & Adolescent Psychiatry in Woonsocket, RI

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
450 CLINTON ST, WOONSOCKET, RI 02895(401) 767-4161(401) 767-5441 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 11, 2017 (3 updates tracked since 2017).

About Jason Rafferty M.d. NPPES

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

JASON RAFFERTY M.D. (NPI 1104186089) is an individual child & adolescent psychiatry provider in Woonsocket, Rhode Island, licensed in Rhode Island (MD15957) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Harvard Medical School (2012).

NPPES Registry Identity

NPI1104186089
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJASON RAFFERTYCredential: M.D.
Location Address450 CLINTON STWoonsocket, RI 02895-3207
Mailing Address450 Clinton StWoonsocket, RI 02895-3207 · (401) 767-4161 · Fax (401) 767-5441
Phone(401) 767-4161
Fax(401) 767-5441
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2012
Enumeration DateMay 24, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1104186089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in RI · MD15957
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License MD15957 (RI)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD15957 (RI)
450 CLINTON ST, Woonsocket, RI 02895
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Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-3762 · Fax (401) 444-8879

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Rafferty M.d. 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 ID9234358813
PECOS Enrollment IDI20170928004257
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.

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.

LAURA ANN WOODS LICSW
Social Worker (Clinical)
450 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 767-4100
DEBORAH JANE RICH MD
Internal Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 767-4100
MR. MATTHEW MICHAEL MALEK M.D
Family Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 767-4100
KERRI LYNN HEBERT FNP-C
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 767-4100
NANCY ELIZABETH CASTRO NP
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 767-4100
SAMUEL HARRY VAN RENSBURG PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
450 CLINTON ST
WOONSOCKET, RI 02895
Providence County (619) 606-3295
MARTHA BROUGH RN
Registered Nurse (Community Health)
450 CLINTON ST, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
Providence County (401) 767-4100
CHLOE THOMASON LCSW
Social Worker (Clinical)
450 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 767-4100

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 Jason Rafferty's NPI number?

The NPI number for Jason Rafferty is 1104186089. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Jason Rafferty located?

Jason Rafferty practices at 450 Clinton St, Woonsocket, RI 02895. The listed phone number is (401) 767-4161.

What is Jason Rafferty's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jason Rafferty enrolled in Medicare?

Yes. Jason Rafferty 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.

What insurance does Jason Rafferty accept?

Health plans from Harvard Pilgrim Health Care list Jason Rafferty 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.

When was this NPI record last updated?

The NPPES record for Jason Rafferty was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.