Unknown Individual – Clinical Psychologist, NPI 1336241546

Unknown Individual is a healthcare provider. based in Cheshire, Connecticut. specializing in Clinical Psychologist. They hold a License No. 001637 (CT). The NPI Number for Unknown Individual is 1336241546

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336241546
Phone
(203) 272-0356
Address
156 NOB HILL RD
Deactivation Date
5 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8774026012
Graduation Year
1985 (41 years ago)
PAC ID
5799816930
Professional Enrollment ID
I20100701000480
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

  • 156, Nob Hill Road, Honeypot Glen, Cheshire, Naugatuck Valley Planning Region, Connecticut, 06410, United States

    CHESHIRE, CT 064101746

    Phone: (203) 272-0356

    Type: Mailing

  • 415, Highland Avenue, Cheshire, Naugatuck Valley Planning Region, Connecticut, 06410, United States

    CHESHIRE, CT 064102563

    Phone: (877) 402-6012

    Fax: (203) 272-7466

    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.

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Medicare Enrollment & Revalidation

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06410)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1336241546 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Connecticut is Unknown Individual registered?
Use Cheshire, Connecticut as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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