Susan J Rautio-Dietz, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040224A Issued in IN

Practice address

532 N Walnut St
Suite D
Bloomington, IN 47404-3809

Phone

(812) 332-7394

NPI assigned

Feb 1, 2007

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

Other names 1

• Susan J Rautio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700924800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5185",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474075185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N WALNUT ST",
            "address_2": "SUITE D",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043809",
            "telephone_number": "812-332-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUTIO-DIETZ",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040224A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RAUTIO",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Lawrence Rasche, D.D.S. M.S.D.
• Travis Rathbun
• Amy Ruth Ratliff Kessens, M.D.
• Wesley W Ratliff, MD
• Larry Dean Ratts, MD
• James Anthony Ray, M.D.
• John D Ray, MD
• Sandra Ray, PT
• RCG Bloomington, LLC
• Reach High Consulting and Therapy, LLC

• Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychologist in Indiana

• 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.