Unknown Individual – Psychologist, NPI 1861585952

Unknown Individual is a healthcare provider. based in Palm beach gardens, Florida. specializing in Psychologist. They hold a License No. PY5504 (FL). The NPI Number for Unknown Individual is 1861585952

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861585952
Phone
(561) 630-8482
Address
3375 BURNS RD STE 203
Deactivation Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
4082669841
Professional Enrollment ID
I20050315000723
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3375 BURNS RD STE 203

    PALM BEACH GARDENS, FL 334104360

    Phone: (561) 630-8482

    Type: Location

  • West Palm, West Beach Boulevard, Laguna Key, Gulf Shores, Baldwin County, Alabama, 36542, United States

    WEST PALM BEACH, FL 334203693

    Phone: (561) 630-8482

    Fax: (954) 366-2056

    Type: Mailing

  • 1002, South Old Dixie Highway, Jupiter, Palm Beach County, Florida, 33458, United States

    104

    JUPITER, FL 334587202

    Phone: (561) 630-8482

    Type: Location

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
90832Psychotherapy, 30 minutes32432$0
90837Psychotherapy, 1 hour16823$0
90834Psychotherapy, 45 minutes3514$0
90791Psychiatric diagnostic evaluation3333$0
View full utilization report →

Insurance plans in this area (ZIP 33410)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1861585952 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Palm Beach Gardens, Florida; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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