Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELIZABETH WADE RAFFANELLO PHD, MPH
NPI 1780376251
Psychologist - Clinical in East Setauket, NY

Q: What is Elizabeth Raffanello's NPI number?

The NPI number for Elizabeth Raffanello is 1780376251. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Q: What is Elizabeth Raffanello's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 23, 2023PECOS Enrolled

100 S JERSEY AVE UNIT 21, EAST SETAUKET, NY 11733(631) 203-7625 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 27, 2026, May 30, 2026, May 16, 2026 and 1 more (4 updates tracked since 2023).

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About Dr. Elizabeth Wade Raffanello Phd, Mph NPPES

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

DR. ELIZABETH WADE RAFFANELLO PHD, MPH (NPI 1780376251) is an individual clinical provider in East Setauket, New York, licensed in New York (025657) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780376251

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELIZABETH WADE RAFFANELLOCredential: PHD, MPH

Location Address100 S JERSEY AVE UNIT 21East Setauket, NY 11733-2036

Mailing Address100 S Jersey Ave Unit 21East Setauket, NY 11733-2036 · (631) 203-7625

Phone(631) 203-7625

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 23, 2023

Last NPPES UpdateSeptember 27, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2026

✔ NPI 1780376251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 025657

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

100 S JERSEY AVE UNIT 21, East Setauket, NY 11733

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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

Dr. Elizabeth Wade Raffanello Phd, Mph 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 ID143680033

PECOS Enrollment IDI20230725000286

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.

Areas of Expertise CMS Part B claims 2

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.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

98 services96 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

ANGELA C. TURNER DOUGHERTY

Psychologist

100 S JERSEY AVE UNIT 21
EAST SETAUKET, NY 11733

Suffolk County (631) 213-7690

DR. ANN CATHLEEN ECKARDT PSYD, ABPP

Psychologist

100 S JERSEY AVE UNIT 21
EAST SETAUKET, NY 11733

Suffolk County (631) 364-2295

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 Elizabeth Raffanello's NPI number?

The NPI number for Elizabeth Raffanello is 1780376251. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Elizabeth Raffanello located?

Elizabeth Raffanello practices at 100 S Jersey Ave Unit 21, East Setauket, NY 11733. The listed phone number is (631) 203-7625.

What is Elizabeth Raffanello's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Raffanello enrolled in Medicare?

Yes. Elizabeth Raffanello 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.

Is Elizabeth Raffanello affiliated with any hospitals?

According to CMS data, Elizabeth Raffanello is affiliated with St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Raffanello was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.