Unknown Individual – Psychiatry Physician, NPI 1477515757

Unknown Individual is a healthcare provider. based in Melbourne, Florida. specializing in Psychiatry Physician. They hold a License No. ME0027230 (FL). The NPI Number for Unknown Individual is 1477515757

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477515757
Phone
(321) 722-5307
Address
400 E SHERIDAN RD
Deactivation Date
16 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217233910
Graduation Year
1967 (59 years ago)
PAC ID
2466581483
Group Practice PAC ID
8729069380
Professional Enrollment ID
I20100528000523
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

  • Circles of Care, 400, East Sheridan Road, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013122

    Phone: (321) 722-5307

    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 32901)

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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: 8729069380View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Clinical Social WorkerFL
Mental Health CounselorFL
-FL
Clinical Social WorkerFL
-FL
-FL
Nurse PractitionerFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1477515757.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Melbourne?
Unknown Individual currently maps to Melbourne, Florida in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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