Unknown Individual – Psychiatry Physician, NPI 1770540437

Unknown Individual is a healthcare provider. based in Barling, Arkansas. specializing in Psychiatry Physician. They hold a License No. R2034 (AR). The NPI Number for Unknown Individual is 1770540437

Main info

Organization
Inactive
60 Years Of Experience
Name
Unknown Individual
NPI
1770540437
Phone
(479) 452-5040
Address
PO BOX 23070
Deactivation Date
1 June 2024

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4798316007
Graduation Year
1966 (60 years ago)
PAC ID
9931360500
Group Practice PAC ID
8527373232
Professional Enrollment ID
I20120412000553
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

  • PO BOX 23070

    BARLING, AR 729230070

    Phone: (479) 452-5040

    Fax: (479) 452-5047

    Type: Mailing

  • 7217 CAMERON PARK DR

    FORT SMITH, AR 729036167

    Phone: (479) 831-6007

    Fax: (479) 782-1242

    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 72923)

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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: 8527373232View full group profile
NameSpecialtyState
P S Y C H I A T R YAR
P S Y C H I A T R YAR
Mental Health CounselorAR
Nurse PractitionerAR
Mental Health CounselorAR
Nurse PractitionerAR
Mental Health CounselorAR
Mental Health CounselorAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1770540437 — 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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Barling, Arkansas.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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