Susi Santoso

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-46873 Issued in IL

Practice address

1005 Alexander CT Unit D
Cary, IL 60013-1891

Phone

(312) 929-6713

NPI assigned

Jan 18, 2021

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossing the Spectrum, LLC

  • Behavior Analyst
  • Cary, IL
  • NPI 1346973864
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1225627805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 DUNDEE RD",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600105254",
            "telephone_number": "312-929-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ALEXANDER CT UNIT D",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131891",
            "telephone_number": "312-929-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOSO",
        "first_name": "SUSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-21-46873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Teresa Ruzga, D.C.
• Colin McPhillips Ryan, L.P.C
• Stephanie Sanchez, LCSW
• Manisha Sandhu
• McKaila Tillie Santos, DMD
• Margaret Sarich
• David Joseph Schaefer
• Jennifer J Schaffer, PT
• Eric Schneider, DPT
• Rebecca A Schoepke, O.D.

• Behavior Analyst in Cary, IL
• Providers in Cary, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.