Unknown Individual – Clinical Psychologist, NPI 1003822982

Unknown Individual is a healthcare provider. based in Olathe, Kansas. specializing in Clinical Psychologist. They hold a License No. LP0803 (KS). The NPI Number for Unknown Individual is 1003822982

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003822982
Phone
(913) 262-5024
Address
513 N MURLEN
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136482512703
Graduation Year
1991 (35 years ago)
PAC ID
7719035435
Professional Enrollment ID
I20090506000147
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

Provider Addresses for Unknown Individual

  • 513 N MURLEN

    OLATHE, KS 66062

    Phone: (913) 262-5024

    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.

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 66062)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1003822982 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Kansas is Unknown Individual registered?
Use Olathe, Kansas as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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