Unknown Individual – Psychiatry Physician, NPI 1659331064

Unknown Individual is a healthcare provider. based in Glendale, California. specializing in Psychiatry Physician. They hold a License No. A40611 (CA). The NPI Number for Unknown Individual is 1659331064

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659331064
Phone
(818) 240-0340
Address
1560 E CHEVY CHASE DR
Deactivation Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
81824003400340
Graduation Year
1972 (54 years ago)
PAC ID
2163310491
Group Practice PAC ID
2961390281
Professional Enrollment ID
I20040315000551
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

  • Professional Building, 1560, East Chevy Chase Drive, Glendale, Los Angeles County, California, 91206, United States

    STE 130

    GLENDALE, CA 912064140

    Phone: (818) 240-0340

    Fax: (818) 545-7672

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Lundbeck LLC ($46).

Total Amount

$155

General + Research + Ownership

Payments

7

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3432$0
View full utilization report →

Insurance plans in this area (ZIP 91206)

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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: 2961390281View full group profile
NameSpecialtyState
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1659331064 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Glendale, California for Unknown Individual; expand the address list for detail.
What if Glendale, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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