Unknown Individual – Psychologist, NPI 1821099862

Unknown Individual is a healthcare provider. based in Cedar rapids, Iowa. specializing in Psychologist. They hold a License No. 00377 (IA). The NPI Number for Unknown Individual is 1821099862

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821099862
Phone
(319) 396-1066
Address
800 1 ST NW
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193961066
Graduation Year
1987 (39 years ago)
PAC ID
8820061435
Group Practice PAC ID
0446140222
Professional Enrollment ID
I20040812001300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 800 1 ST NW

    CEDAR RAPIDS, IA 52405

    Phone: (319) 396-1066

    Fax: (319) 396-8779

    Type: Mailing

  • 3100, E Avenue Northwest, Cedar Rapids, Linn County, Iowa, 52405, United States

    CEDAR RAPIDS, IA 52405

    Phone: (319) 396-3110

    Fax: (319) 396-8779

    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.

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 52405)

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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: 0446140222View full group profile
NameSpecialtyState
Nurse PractitionerIA
Clinical Social WorkerIA
P S Y C H I A T R YIA
Mental Health CounselorIA
Clinical Social WorkerIA
Nurse PractitionerIA
-IA
Clinical Social WorkerIA
Clinical Social WorkerIA
P S Y C H I A T R YCT

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1821099862.
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 Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Cedar Rapids, Iowa for Unknown Individual based on available NPPES addresses.
What if Cedar Rapids, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.