Unknown Individual – Clinical Psychologist, NPI 1568593606

Unknown Individual is a healthcare provider. based in Fort lauderdale, Florida. specializing in Clinical Psychologist. They hold a License No. 1080 (FL). The NPI Number for Unknown Individual is 1568593606

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568593606
Phone
(954) 463-2723
Address
915 MIDDLE RIVER DR
Deactivation Date
15 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
4082709159
Professional Enrollment ID
I20071004000137
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:0State licenses:4Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 915 MIDDLE RIVER DR

    STE. #317

    FORT LAUDERDALE, FL 333043544

    Phone: (954) 463-2723

    Fax: (954) 463-1687

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 33304)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1568593606.
Is inactive the same as retired for Unknown Individual?
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 Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Fort Lauderdale, Florida as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

1919, Northeast 45th Street, Coral Hills, Fort Lauderdale, Broward County, Florida, 33308, United States
NPI: 1669477212
401, East Las Olas Boulevard, Fort Lauderdale, Broward County, Florida, 33301, United States
NPI: 1649253667
1848, Southeast 1st Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
NPI: 1083691406
5353 NORTH FEDERAL HIGHWAY, SUITE 204
NPI: 1073591178
1700 NW 49TH ST STE 125
NPI: 1861456733

DR. DANIELLE ARDITY (PH.D.)

Clinical Psychologist
7852, Northwest 62nd Terrace, Parkland, Broward County, Florida, 33067, United States
NPI: 1649229824

DR. HILDA F BESNER (PH.D.)

Clinical Psychologist
915, Middle River Drive, Sunrise Key, Fort Lauderdale, Broward County, Florida, 33304, United States
NPI: 1326092974

DAVID SAKETKOO PSYD PA

Clinical Psychologist
9749, Southwest 1st Street, Jacaranda, Plantation, Broward County, Florida, 33324, United States
NPI: 1265470108

WENDY M WINKLEMAN (PHD)

Clinical Psychologist
6701 RIDGEFIELD DR
NPI: 1942242029