Unknown Individual – Psychiatry Physician, NPI 1194883629

Unknown Individual is a healthcare provider. based in Phoenix, Arizona. specializing in Psychiatry Physician. They hold a License No. 28313 (AZ). The NPI Number for Unknown Individual is 1194883629

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194883629
Phone
(602) 685-3846
Address
444 N 44TH ST
Deactivation Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6022535100
Graduation Year
1974 (52 years ago)
PAC ID
0749221554
Group Practice PAC ID
3072858745
Professional Enrollment ID
I20050520000911
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

Loading map...

Provider Addresses for Unknown Individual

  • North 44th Street, Phoenix, Maricopa County, Arizona, 85018, United States

    #400

    PHOENIX, AZ 850087624

    Phone: (602) 685-3846

    Fax: (602) 685-3808

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 85008)

Loading plans...

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: 3072858745View full group profile
NameSpecialtyState
Nurse PractitionerUT
Physician AssistantCA
Physician AssistantAZ
Nurse PractitionerAZ
Physician AssistantAZ
P S Y C H I A T R YAZ
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ
Nurse PractitionerAZ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1194883629 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Phoenix, Arizona.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

315 SE 14th St
NPI: 1104829274
5110, North 40th Street, Phoenix, Maricopa County, Arizona, 85018, United States
NPI: 1427052869

JILL REISS ZWEIG (DO)

Psychiatry Physician
5110, North 40th Street, Phoenix, Maricopa County, Arizona, 85018, United States
NPI: 1316941750

DR. CARLOS J CARRERA (M.D.)

Psychiatry Physician
Carl T. Hayden Veterans Affairs Medical Center, 650, East Indian School Road, Phoenix, Maricopa County, Arizona, 85012, United States
NPI: 1679579213

DR. ANN MARIE NEGRI (M.D.)

Psychiatry Physician
29022, North 108th Place, Scottsdale, Maricopa County, Arizona, 85262, United States
NPI: 1033115795

DR. RICHARD J ROSENGARD (D.O.)

Psychiatry Physician
10000, North 31st Avenue, Lake Biltmore Estates, Phoenix, Maricopa County, Arizona, 85051, United States
NPI: 1861499907
North Central Avenue, Phoenix, Maricopa County, Arizona, 85004-1905, United States
NPI: 1811995863
PO BOX 42958
NPI: 1477552909

DONALD JOE HOLLAND (M.D.)

Psychiatry Physician
Power Box, Phoenix, Maricopa County, Arizona, United States
NPI: 1417940073