Unknown Individual – Psychiatry Physician, NPI 1902085145

Unknown Individual is a healthcare provider. based in Gainesville, Florida. specializing in Psychiatry Physician. They hold a License No. 234034 (MA). The NPI Number for Unknown Individual is 1902085145

Main info

Organization
Inactive
27 Years Of Experience
Name
Unknown Individual
NPI
1902085145
Phone
(352) 265-3284
Address
1600 S. W. ARCHER ROAD, SUITE 8404
Deactivation Date
16 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782759444
Graduation Year
1999 (27 years ago)
PAC ID
3072693787
Group Practice PAC ID
3375847395
Professional Enrollment ID
I20080108000416
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

Provider Addresses for Unknown Individual

  • 1600 S. W. ARCHER ROAD, SUITE 8404

    SHANDS HOSPITAL

    GAINESVILLE, FL 32608

    Phone: (352) 265-3284

    Type: Location

  • Windsor Woods Lane, Canton, Norfolk County, Massachusetts, 03072, United States

    CANTON, MA 02021

    Phone: (352) 265-3284

    Type: Mailing

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 32608)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90853Group psychotherapy8420

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: 3375847395View full group profile

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

What NPI should I save for Unknown Individual?
Save NPI 1902085145 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Gainesville, Florida for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

5801 NW 83RD TER
NPI: 1962408518

DR. JUAN FRANCISCO RIOS (MD)

Psychiatry Physician
9322 AVENIDA SAN PABLO
NPI: 1518966126

DR. ADRIAN BRIAN BLOTNER (MD)

Psychiatry Physician
UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States
NPI: 1184616948

DR. CYNTHIA JANE WHITE (MD)

Psychiatry Physician
5000 NW 27TH CT
NPI: 1871586032
Southwest 13th Street, Gainesville, Alachua County, Florida, 32610, United States
NPI: 1689660441

ANDRES J PUMARIEGA (MD)

Child & Adolescent Psychiatry Physician
3 Cooper Plz
NPI: 1629065529

IVAN D. LOPEZ (M.D.)

Psychiatry Physician
439, Southwest Michigan Street, Georgetown, Seattle, King County, Washington, 98106, United States
NPI: 1760470306

Unknown Individual

Psychiatry Physician
2830, Northwest 41st Street, Thornebrooke, City of Gainesville Municipal Boundaries, Alachua County, Florida, 32606, United States
NPI: 1861473902
620 JOHN PAUL JONES CIR
NPI: 1477523256