Shane Rafferty, MS, CCLS
NPI 1720625601ActiveIndividual· Pediatrics, Developmental - Behavioral Pediatrics· Chicago, IL
Pediatrics, Developmental - Behavioral Pediatrics (MS, CCLS) in Chicago, Illinois, licensed in IL, with an NPI issued in December 2019.
Overview
| NPI | 1720625601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, CCLS |
| Sole proprietor | No |
| NPI issued | Dec 10, 2019 |
| Last updated in NPPES | Jun 3, 2020 |
| Certified by provider | Jun 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | 21312 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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