Unknown Individual – Counseling Psychologist, NPI 1285820712

Unknown Individual is a healthcare provider. based in Newark, Delaware. specializing in Counseling Psychologist. They hold a License No. B1-0000454 (DE). The NPI Number for Unknown Individual is 1285820712

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285820712
Phone
(302) 229-5629
Address
33 MINQUIL DR
Deactivation Date
15 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022398583
Graduation Year
1991 (35 years ago)
PAC ID
0840412557
Group Practice PAC ID
5597743344
Professional Enrollment ID
I20141113001220
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

  • 33, Minquil Drive, Cottage Mill, Newark, New Castle County, Delaware, 19713, United States

    NEWARK, DE 197131319

    Phone: (302) 229-5629

    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.

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.

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

Insurance plans in this area (ZIP 19713)

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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: 5597743344View full group profile
NameSpecialtyState
Clinical PsychologistMD
Nurse PractitionerPA
Clinical PsychologistPA
Nurse PractitionerPA
Nurse PractitionerDE
-IL
-PA
-NJ
Nurse PractitionerDE
Clinical PsychologistDE

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1285820712.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Newark, Delaware. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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