Susan L. Rarick, PH.D. LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 8078 Issued in FL

Legal business name

SUSAN L. RARICK, PH.D. LLC

Practice address

20747 Sterlington Drive
Land O Lakes, FL 34638

Phone

(813) 943-4000

Fax

(813) 948-0094

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Susan Louise Rarick, PH.D.NPI 1528225612

Title

President

Phone

(813) 943-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Susan Louise Rarick, PH.D.

  • Psychologist
  • Land O Lakes, FL
  • NPI 1528225612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1962882050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DRIVE",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "34638",
            "telephone_number": "813-943-4000",
            "fax_number": "813-948-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DRIVE",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "34638",
            "telephone_number": "813-943-4000",
            "fax_number": "813-948-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. RARICK, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "RARICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-943-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.