Unknown Individual – School Psychologist, NPI 1043359862

Unknown Individual is a healthcare provider. based in Aventura, Florida. specializing in School Psychologist. They hold a License No. SS255 (FL). The NPI Number for Unknown Individual is 1043359862

Main info

Organization
Inactive
72 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043359862
Phone
(305) 937-4500
Address
19495 BISCAYNE BLVD
Deactivation Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3058668448
Graduation Year
1954 (72 years ago)
PAC ID
0547458366
Professional Enrollment ID
I20101221000658
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 19495 BISCAYNE BLVD

    STE 203

    AVENTURA, FL 331802319

    Phone: (305) 937-4500

    Fax: (305) 937-4408

    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 33180)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1043359862 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
School Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Aventura, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.