Unknown Individual – Clinical Psychologist, NPI 1235596305

Unknown Individual is a healthcare provider. based in San francisco, California. specializing in Clinical Psychologist. They hold a License No. PSY13362 (CA). The NPI Number for Unknown Individual is 1235596305

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235596305
Phone
(415) 476-7674
Address
401 PARNASSUS AVE
Deactivation Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154767000
Graduation Year
1987 (39 years ago)
PAC ID
9335447416
Group Practice PAC ID
4981680832
Professional Enrollment ID
I20160406001965
Data current as of
20 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

  • Langley Porter Psychiatric Institute, 401, Parnassus Avenue, Cole Valley, San Francisco, California, 94143, United States

    BOX 0984

    SAN FRANCISCO, CA 941432211

    Phone: (415) 476-7674

    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.

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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 94143)

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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: 4981680832View full group profile

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 1235596305.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to San Francisco, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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