Unknown Individual – Clinical Psychologist, NPI 1831148964

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Clinical Psychologist. They hold a License No. 1075 (AL). The NPI Number for Unknown Individual is 1831148964

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831148964
Phone
(205) 444-0420
Address
2 RIVERCHASE RIDGE
Deactivation Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054440420
Graduation Year
1981 (45 years ago)
PAC ID
4183803984
Group Practice PAC ID
9032108253
Professional Enrollment ID
I20110126000305
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

  • Days Inn Galleria-Birmingham, 1800, Riverchase Drive, Chace Lake, Hoover, Jefferson County, Alabama, 35244, United States

    STE 100, GRAYSON & ASSOCIATES PC

    BIRMINGHAM, AL 35244

    Phone: (205) 444-0420

    Fax: (205) 403-0747

    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 35244)

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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: 9032108253View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1831148964 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Birmingham, Alabama as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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