Unknown Individual – Psychiatry Physician, NPI 1700871944

Unknown Individual is a healthcare provider. based in Fort dodge, Iowa. specializing in Psychiatry Physician. They hold a License No. 31769 (IA). The NPI Number for Unknown Individual is 1700871944

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700871944
Phone
(515) 955-7171
Address
720 KENYON ROAD
Deactivation Date
30 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
6416289599
Graduation Year
1995 (31 years ago)
PAC ID
7517922255
Group Practice PAC ID
2365725744
Professional Enrollment ID
I20041122001275
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

Loading map...

Provider Addresses for Unknown Individual

  • Berryhill Mental Health Center, 720, Kenyon Road, Fort Dodge, Wahkonsa Township, Webster County, Iowa, 50501, United States

    NORTH CENTRAL IOWA MHC DBA BERRYHILL CENTER FOR MENTAL

    FORT DODGE, IA 505010000

    Phone: (515) 955-7171

    Fax: (515) 573-7898

    Mailing address matches the actual address.

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 50501)

Loading plans...

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: 2365725744View full group profile
NameSpecialtyState
Marriage And Family TherapistIA
-IA
Clinical PsychologistIA
Mental Health CounselorIA
Clinical Social WorkerIA
-MO
-IA
Clinical Social WorkerIA
Clinical Social WorkerMI

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 1700871944 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Fort Dodge, Iowa for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

Berryhill Mental Health Center, 720, Kenyon Road, Fort Dodge, Webster County, Iowa, 50501, United States
NPI: 1083681944

Lee & Associates

Psychiatry Physician
Urology Associates, 804, Kenyon Road, Fort Dodge, Wahkonsa Township, Webster County, Iowa, 50501, United States
NPI: 1891756912

SANG O LEE (M.D)

Psychiatry Physician
Urology Associates, 804, Kenyon Road, Fort Dodge, Wahkonsa Township, Webster County, Iowa, 50501, United States
NPI: 1396709457

KATELYN M THOMPSON (D.O.)

Psychiatry Physician
985582 NEBRASKA MEDICAL CTR
NPI: 1063853935
114 N 27TH ST
NPI: 1881567543