Unknown Individual – Psychiatry Physician, NPI 1184774531

Unknown Individual is a healthcare provider. based in Hays, Kansas. specializing in Psychiatry Physician. They hold a License No. 04-25824 (KS). The NPI Number for Unknown Individual is 1184774531

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184774531
Phone
(785) 628-2871
Address
208 E 7TH ST
Deactivation Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7856252400
Graduation Year
1979 (47 years ago)
PAC ID
2264473636
Group Practice PAC ID
6204748783
Professional Enrollment ID
I20100924001274
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

  • 208, East 7th Street, Hays, Ellis County, Kansas, 67601, United States

    HAYS, KS 676014117

    Phone: (785) 628-2871

    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 67601)

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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: 6204748783View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Mental Health CounselorKS
Clinical Social WorkerKS
Clinical Social WorkerKS
-KS
Mental Health CounselorKS
-KS
Marriage And Family TherapistKS
Mental Health CounselorMO
Clinical Social WorkerWY

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1184774531 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Hays, Kansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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