Carly Rae Dietz, M.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2513 24TH St
San Francisco, CA 94110-3556

Phone

(415) 264-8205

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carly Rae Bettger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235202656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 GOLDEN GATE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154514",
            "telephone_number": "415-572-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103556",
            "telephone_number": "415-264-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "CARLY",
        "middle_name": "RAE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "BETTGER",
            "middle_name": "RAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cristy Dieterich
• Cameron Dietiker, M.D.
• Carol Dietrich, RN, LMFT, RDT
• Tara Ann Dietrick, R.N., C.R.N.A.
• Brett William Dietz
• Connor Deryl Dietz, MD, FRCPC
• Lauren Dietz, RN
• Meghan Slemenda Dietz, D.P.T
• Tina K Dietz, PHD
• Adaney Diez

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.