Unknown Individual – Psychologist, NPI 1346355039

Unknown Individual is a healthcare provider. based in Boynton beach, Florida. specializing in Psychologist. They hold a License No. PY5256 (FL). The NPI Number for Unknown Individual is 1346355039

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346355039
Phone
(561) 523-0206
Address
12155 ROMA ROAD
Deactivation Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5615230206
Graduation Year
1986 (40 years ago)
PAC ID
5597783613
Professional Enrollment ID
I20051108000189
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

  • 12155 ROMA ROAD

    BOYNTON BEACH, FL 334372079

    Phone: (561) 523-0206

    Fax: (561) 736-4025

    Type: Mailing

  • 15200 JOG ROAD

    SUITE 303

    DELRAY BEACH, FL 334461249

    Phone: (561) 523-0206

    Fax: (561) 736-4025

    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.

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.

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14611$0
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Insurance plans in this area (ZIP 33437)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1346355039 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Boynton Beach, Florida because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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