Unknown Individual – Clinical Psychologist, NPI 1568550218

Unknown Individual is a healthcare provider. based in Newark, Delaware. specializing in Clinical Psychologist. They hold a License No. B10000129 (DE). The NPI Number for Unknown Individual is 1568550218

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568550218
Phone
(302) 998-2618
Address
22 WINSLOW RD
Deactivation Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3029982618
Graduation Year
1979 (47 years ago)
PAC ID
2769676998
Professional Enrollment ID
I20101102000667
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

Provider Addresses for Unknown Individual

  • Winslow Road, Oakland, Newark, New Castle County, Delaware, 19717, United States

    NEWARK, DE 197115210

    Phone: (302) 998-2618

    Fax: (302) 998-7660

    Type: Mailing

  • 4420 LIMESTONE RD STE 201A

    WILMINGTON, DE 198082005

    Phone: (302) 998-2618

    Fax: (302) 998-7660

    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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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 19711)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1568550218 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Newark, Delaware for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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