Unknown Individual – Psychologist, NPI 1609804459

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Psychologist. They hold a License No. PY5123 (FL). The NPI Number for Unknown Individual is 1609804459

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609804459
Phone
(954) 922-2331
Address
1011 S FEDERAL HWY
Deactivation Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
9931263704
Professional Enrollment ID
I20090123000305
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

Loading map...

Provider Addresses for Unknown Individual

  • South Federal Highway, Dania Beach, Broward County, Florida, 33004, United States

    HOLLYWOOD, FL 330206025

    Phone: (954) 922-2331

    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 33020)

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 1609804459.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Hollywood?
Public fields place Unknown Individual around Hollywood, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

5124, Hollywood Boulevard, Hollywood, Broward County, Florida, 33024, United States
NPI: 1700873882
Passport Health Ft. Lauderdale Travel Clinic, 2699, Stirling Road, Hollywood, Broward County, Florida, 33312, United States
NPI: 1730176892
North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States
NPI: 1932197548
3363, Sheridan Street, Hollywood, Broward County, Florida, 33021, United States
NPI: 1467442236
101, North Ocean Drive, Hollywood, Broward County, Florida, 33019, United States
NPI: 1780698944
Sheridan Street, Hollywood, Broward County, Florida, 33004, United States
NPI: 1881701704
Sheridan Street, Hollywood, Broward County, Florida, 33004, United States
NPI: 1235246067
2838 CAYENNE AVE
NPI: 1386740397
807 Lawn Ave
NPI: 1932297686