Unknown Individual – Psychologist, NPI 1407882293

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Psychologist. They hold a License No. PY3696 (FL). The NPI Number for Unknown Individual is 1407882293

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407882293
Phone
(727) 726-7442
Address
1938 SOULE RD
Deactivation Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277255060
Graduation Year
1982 (44 years ago)
PAC ID
9436345527
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20101201000951
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

  • 1938, Soule Road, Clearwater, Pinellas County, Florida, 33759, United States

    CLEARWATER, FL 337591507

    Phone: (727) 726-7442

    Fax: (727) 725-5537

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes44056$0
96116Exam of neurobehavioral status, first hour6967$0
96121Exam of neurobehavioral status, each additional hour6260$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes5656$0
96132Evaluation of neuropsychological test, first hour5353$0
View full utilization report →

Insurance plans in this area (ZIP 33759)

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Provider's Procedures

Unknown Individual performs procedures in Psychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALFL96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour470161

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: 6406753623View full group profile

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1407882293.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Clearwater, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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