Unknown Individual – Psychologist, NPI 1497738264

Unknown Individual is a healthcare provider. based in Phoenix, Arizona. specializing in Psychologist. They hold a License No. 20010408 (IN). The NPI Number for Unknown Individual is 1497738264

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497738264
Phone
(602) 957-2368
Address
5070 N 40TH ST
Deactivation Date
26 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1972 (54 years ago)
PAC ID
1850339060
Professional Enrollment ID
I20080314000403
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

  • 5070, North 40th Street, Phoenix, Maricopa County, Arizona, 85018, United States

    STE 220

    PHOENIX, AZ 850182148

    Phone: (602) 957-2368

    Fax: (602) 957-0050

    Type: Mailing

  • 8160, North Hayden Road, McCormick Ranch, Scottsdale, Maricopa County, Arizona, 85258, United States

    SUITE J-112

    SCOTTSDALE, AZ 852582467

    Phone: (480) 905-8755

    Fax: (480) 905-8851

    Type: Location

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.

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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 85018)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1497738264.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Phoenix, Arizona may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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