Unknown Individual – Psychiatry Physician, NPI 1316050792

Unknown Individual is a healthcare provider. based in Woodbridge, Connecticut. specializing in Psychiatry Physician. They hold a License No. 037540 (CT). The NPI Number for Unknown Individual is 1316050792

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316050792
Phone
(203) 397-5491
Address
270 AMITY RD STE 132
Deactivation Date
10 July 2024

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
2033975491
Graduation Year
1974 (52 years ago)
PAC ID
5395809735
Group Practice PAC ID
3678706967
Professional Enrollment ID
I20090129000153
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

  • 270 AMITY RD STE 132

    WOODBRIDGE, CT 065252236

    Phone: (203) 397-5491

    Fax: (203) 397-3537

    Type: Mailing

  • 270, Amity Road, Woodbridge, New Haven County, Connecticut, 06525, United States

    SUITE 130

    WOODBRIDGE, CT 06525

    Phone: (203) 397-0064

    Fax: (203) 397-3537

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 215 Open Payments records for all available years, with a total value of $5,042.

Total Amount is formed as General ($5,042) + Research ($0) + Ownership ($0) = $5,042.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: ABBVIE INC. ($648).

Total Amount

$5,042

General + Research + Ownership

Payments

215

Total payment records

General Amount

$5,042

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

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
99212Established patient office or other outpatient visit, 10-19 minutes809188$0
90836Psychotherapy with evaluation and management visit, 45 minutes571152$0
90785Psychiatric services complicated by communication factor482126$0
90833Psychotherapy with evaluation and management visit, 30 minutes23595$0
99443Telephone medical discussion with physician, 21-30 minutes10726$0
View full utilization report →

Insurance plans in this area (ZIP 06525)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYCT90836Psychotherapy, 45 minutes with patient and/or family member1013134

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: 3678706967View full group profile
NameSpecialtyState
-CT

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1316050792?
NPI 1316050792 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Woodbridge, Connecticut as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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