Unknown Individual – Psychologist, NPI 1588648364

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Psychologist. They hold a License No. 99 (AL). The NPI Number for Unknown Individual is 1588648364

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588648364
Phone
(205) 978-7800
Address
100 CENTURY PARK SOUTH
Deactivation Date
23 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059787800
Graduation Year
1969 (57 years ago)
PAC ID
9234189812
Group Practice PAC ID
5092763383
Professional Enrollment ID
I20050201000168
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

Provider Addresses for Unknown Individual

  • 100 CENTURY PARK SOUTH

    SUITE 206

    BIRMINGHAM, AL 352263922

    Phone: (205) 978-7800

    Fax: (205) 978-7802

    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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 35226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092763383View full group profile

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1588648364 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Birmingham, Alabama for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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