Unknown Individual – Psychologist, NPI 1093771115

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Psychologist. They hold a License No. PY 2432 (FL). The NPI Number for Unknown Individual is 1093771115

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093771115
Phone
(813) 876-5346
Address
730 S STERLING AVE STE 102
Deactivation Date
11 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138765346
Graduation Year
1978 (48 years ago)
PAC ID
3375732555
Professional Enrollment ID
I20110105000034
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 730 S STERLING AVE STE 102

    TAMPA, FL 336094542

    Phone: (813) 876-5346

    Fax: (813) 876-5346

    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)

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Medicare Enrollment & Revalidation

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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 33609)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1093771115.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Tampa, Florida for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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