Unknown Individual – Clinical Psychologist, NPI 1467533034

Unknown Individual is a healthcare provider. based in Mobile, Alabama. specializing in Clinical Psychologist. They hold a License No. 123 (AL). The NPI Number for Unknown Individual is 1467533034

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467533034
Phone
(251) 343-0566
Address
273 AZALEA RD
Deactivation Date
6 July 2022

Doctor Profile

Medical School Name
OAKLAND COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
2514340566
Graduation Year
1972 (54 years ago)
PAC ID
7810088275
Professional Enrollment ID
I20070814000619
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 273, Azalea Road, Eau Claire Estates, Mobile, Mobile County, Alabama, 36609, United States

    SUITE 2-413

    MOBILE, AL 366091970

    Phone: (251) 343-0566

    Fax: (241) 343-0120

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36609)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Psychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALAL96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour3311

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1467533034.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Mobile, Alabama in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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