Organization Active NPI

Moonstone Psychological Services, LLC

  • Psychologist
  • Carmel, IN
National Provider Identifier
1790401735
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MOONSTONE PSYCHOLOGICAL SERVICES, LLC
Practice address
1950 E Greyhound Pass Ste 18-128
Carmel, IN 46033-7787
Phone
(317) 564-9797
Fax
(877) 401-3034
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Colin Rak-Dietz, PH.D.NPI 1396028528
Title
Clinical Psychologist
Phone
(317) 564-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1950 E Greyhound Pass Ste 18-128
Carmel, IN 46033-7787

Mailing address

1950 E Greyhound Pass Ste 18-128
Carmel, IN 46033-7787
Phone (317) 564-9797

National Provider Directory

National Provider Directory

Locations

1905 S New Market St
Ste 260
Carmel, IN 46032
Phone (317) 564-9797

1950 E Greyhound Pass
Ste 18128
Carmel, IN 46033
Phone (317) 564-9797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1790401735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E GREYHOUND PASS STE 18-128",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337787",
            "telephone_number": "317-564-9797",
            "fax_number": "877-401-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E GREYHOUND PASS STE 18-128",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337787",
            "telephone_number": "317-564-9797",
            "fax_number": "877-401-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "RAK-DIETZ",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-564-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.