Unknown Individual – Clinical Psychologist, NPI 1598875999

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Clinical Psychologist. They hold a License No. 071004424 (IL). The NPI Number for Unknown Individual is 1598875999

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598875999
Phone
(312) 563-2202
Address
2150 W HARRISON ST
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129425375
Graduation Year
1990 (36 years ago)
PAC ID
9133170954
Group Practice PAC ID
5597845461
Professional Enrollment ID
I20050209000103
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

  • 2124-2150, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    RUSH UNIVERSITY MEDICAL CENTER - DEPT OF PSYCHIATRY

    CHICAGO, IL 606123706

    Phone: (312) 563-2202

    Fax: (312) 942-6216

    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.

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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 60612)

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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: 5597845461View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1598875999 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Chicago, Illinois may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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