Unknown Individual – Psychologist, NPI 1497726483

Unknown Individual is a healthcare provider. based in Lawrence, Kansas. specializing in Psychologist. They hold a License No. 685 (KS). The NPI Number for Unknown Individual is 1497726483

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497726483
Phone
(785) 843-9192
Address
200 MAINE ST
Deactivation Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7858439192
Graduation Year
1977 (49 years ago)
PAC ID
2860430857
Group Practice PAC ID
5799693834
Professional Enrollment ID
I20050420000803
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

  • Lawrence - Douglas County Health Department, 200, Maine Street, Pinckney, Lawrence, Douglas County, Kansas, 66044, United States

    LAWRENCE, KS 660441368

    Phone: (785) 843-9192

    Fax: (785) 843-6744

    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 66044)

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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: 5799693834View full group profile
NameSpecialtyState
P S Y C H I A T R YKS
Clinical Social WorkerKS
P S Y C H I A T R YKS
Nurse PractitionerMO
Clinical Social WorkerKS
Nurse PractitionerKS
-KS
Certified Clinical Nurse Specialist (Cns)KS
-KS
-KS

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1497726483?
NPI 1497726483 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Lawrence?
Public fields place Unknown Individual around Lawrence, Kansas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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