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ARIATI S RAKIC PHD
NPI 1629262555
Clinical Neuropsychologist in Walnut Creek, CA

Active since September 04, 2007PECOS Enrolled
309 LENNON LN STE 103, WALNUT CREEK, CA 94598(925) 389-6723 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2025, Apr 24, 2018, Jan 31, 2017 and 1 more (4 updates tracked since 2016).

About Ariati S Rakic Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIATI S RAKIC PHD (NPI 1629262555) is an individual clinical neuropsychologist in Walnut Creek, California, licensed in California (PSY13781) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629262555
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameARIATI S RAKICCredential: PHD
Location Address309 LENNON LN STE 103Walnut Creek, CA 94598-2423
Mailing Address309 Lennon Ln Ste 103Walnut Creek, CA 94598-2423 · (925) 389-6723
Phone(925) 389-6723
Sole ProprietorYes
Enumeration DateSeptember 4, 2007
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1629262555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY13781
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
309 LENNON LN STE 103, Walnut Creek, CA 94598
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Other Names 1

Other Name (5)Ariati Sumodjo Rakic Ph.d

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ariati S Rakic Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ariati Rakic's NPI number?

The NPI number for Ariati Rakic is 1629262555. It was assigned to this individual provider in the NPPES registry on September 4, 2007. The provider is also known as Ariati Sumodjo Rakic Ph.D.

Where is Ariati Rakic located?

Ariati Rakic practices at 309 Lennon Ln Ste 103, Walnut Creek, CA 94598. The listed phone number is (925) 389-6723.

What is Ariati Rakic's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Ariati Rakic enrolled in Medicare?

Yes. Ariati Rakic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ariati Rakic was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.