Unknown Individual – Psychologist, NPI 1821039231

Unknown Individual is a healthcare provider. based in Sarasota, Florida. specializing in Psychologist. They hold a License No. PY6161 (FL). The NPI Number for Unknown Individual is 1821039231

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821039231
Phone
(941) 544-5235
Address
2459 IXORA AVE
Deactivation Date
8 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9415445235
Graduation Year
1993 (33 years ago)
PAC ID
6406756170
Professional Enrollment ID
I20110428000449
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

  • 2459, Ixora Avenue, Sarasota, Sarasota County, Florida, 34234, United States

    SARASOTA, FL 342347328

    Phone: (941) 544-5235

    Fax: (941) 362-4644

    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 34234)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1821039231 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Sarasota, Florida on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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