Unknown Individual – Psychologist, NPI 1992777122

Unknown Individual is a healthcare provider. based in Loveland, Colorado. specializing in Psychologist. They hold a License No. 1827 (CO). The NPI Number for Unknown Individual is 1992777122

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992777122
Phone
(970) 635-9116
Address
1104 GRANT AVE
Deactivation Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9706359116
Graduation Year
1987 (39 years ago)
PAC ID
0749304335
Professional Enrollment ID
I20100903000191
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

  • Grant Avenue, Loveland, Larimer County, Colorado, 80537, United States

    LOVELAND, CO 805374765

    Phone: (970) 635-9116

    Fax: (970) 667-4115

    Type: Mailing

  • 200, East 7th Street, Loveland, Larimer County, Colorado, 80537, United States

    #406

    LOVELAND, CO 805374871

    Phone: (970) 635-9116

    Fax: (970) 667-4115

    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 80537)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1992777122 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Loveland, Colorado for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1992777122. Always confirm identity and privileges with the practice and licensing boards.

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