Unknown Individual – Clinical Psychologist, NPI 1649224841

Unknown Individual is a healthcare provider. based in Hilo, Hawaii. specializing in Clinical Psychologist. They hold a License No. PSY - 286 (HI). The NPI Number for Unknown Individual is 1649224841

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649224841
Phone
(808) 935-9016
Address
56 WAIANUENUE AVE
Deactivation Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009359016
Graduation Year
1983 (43 years ago)
PAC ID
5496780868
Professional Enrollment ID
I20051004001084
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

  • 56, Waianuenue Avenue, Downtown Hilo, Pu‘u‘eo, Hilo, Hawaiʻi County, Hawaii, 96720, United States

    HILO, HI 967202474

    Phone: (808) 935-9016

    Fax: (808) 969-9447

    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.

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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.

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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 96720)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1649224841 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Hilo, Hawaii. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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