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DR. LAUREN ALEXANDRA RUTTER PH.D.
NPI 1790473395
Psychologist - Clinical in Bloomington, IN

Active since May 01, 2023Opted out of Medicare · through Jul 8, 2028
1101 E 10TH ST, BLOOMINGTON, IN 47405(812) 856-9953 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Lauren Alexandra Rutter Ph.d. NPPES

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

DR. LAUREN ALEXANDRA RUTTER PH.D. (NPI 1790473395) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (20043322B) and active in the NPI registry since May 2023. She has opted out of Medicare through July 8, 2028.

NPPES Registry Identity

NPI1790473395
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAUREN ALEXANDRA RUTTERCredential: PH.D.
Location Address1101 E 10TH STBloomington, IN 47405-7007
Mailing Address1101 E 10th StBloomington, IN 47405-7007
Phone(812) 856-9953
Sole ProprietorNo
Enumeration DateMay 1, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1790473395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20043322B
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 20043322B (IN)
1101 E 10TH ST, Bloomington, IN 47405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lauren Alexandra Rutter Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2026 through July 8, 2028.

Opt-Out Effective DateJuly 8, 2026
Opt-Out In Effect ThroughJuly 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lauren Rutter's NPI number?

The NPI number for Lauren Rutter is 1790473395. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Lauren Rutter located?

Lauren Rutter practices at 1101 E 10th St, Bloomington, IN 47405. The listed phone number is (812) 856-9953.

What is Lauren Rutter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lauren Rutter enrolled in Medicare?

No. Lauren Rutter has opted out of Medicare through July 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lauren Rutter was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.