Unknown Individual – Psychologist, NPI 1366485435

Unknown Individual is a healthcare provider. based in Lenexa, Kansas. specializing in Psychologist. They hold a License No. 0158 (KS). The NPI Number for Unknown Individual is 1366485435

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366485435
Phone
(913) 441-0718
Address
8405 REDBUD LN
Deactivation Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
2961596671
Professional Enrollment ID
I20081229000450
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

  • 8405, Redbud Lane, Lenexa, Johnson County, Kansas, 66220, United States

    LENEXA, KS 662203303

    Phone: (913) 441-0718

    Fax: (913) 541-8030

    Type: Mailing

  • West 95th Street, Lenexa, Johnson County, Kansas, 66215, United States

    LENEXA, KS 662153304

    Phone: (913) 491-8030

    Fax: (913) 541-8030

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18313$0
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Insurance plans in this area (ZIP 66220)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1366485435 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
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 Lenexa, Kansas for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1366485435. Always confirm identity and privileges with the practice and licensing boards.

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