Unknown Individual – Clinical Neuropsychologist, NPI 1891748612

Unknown Individual is a healthcare provider. based in Chesterton, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 071003832 (IL). The NPI Number for Unknown Individual is 1891748612

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891748612
Phone
(219) 926-8320
Address
PO BOX 2257
Deactivation Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
7810972155
Professional Enrollment ID
I20040622000182
Address ID
IN463040000CHPOXXXBOXX203
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

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for Unknown Individual

  • Chesterton Post Office, Chesterton Road, Lynfield Court, Chesterton, Cambridge, Cambridgeshire, Cambridgeshire and Peterborough, England, CB4 1JB, United Kingdom

    CHESTERTON, IN 463040357

    Phone: (219) 926-8320

    Fax: (219) 926-3524

    Type: Mailing

  • 855, Golf Road, Arlington Heights, Elk Grove Township, Cook County, Illinois, 60005, United States

    SUITE 2139

    ARLINGTON HEIGHTS, IL 600055222

    Phone: (847) 373-0991

    Fax: (847) 394-4176

    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.

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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.

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
96137Administration of psychological or neuropsychological test, each additional 30 minutes652171$0
96133Evaluation of neuropsychological test, each additional hour236172$0
96132Evaluation of neuropsychological test, first hour172172$0
96116Exam of neurobehavioral status, first hour171171$0
96136Administration of psychological or neuropsychological test, first 30 minutes171171$0
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Insurance plans in this area (ZIP 46304)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1891748612.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Chesterton, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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