Unknown Individual – Psychiatry Physician, NPI 1124131198

Unknown Individual is a healthcare provider. based in Mason, Michigan. specializing in Psychiatry Physician. They hold a License No. ME91100 (FL). The NPI Number for Unknown Individual is 1124131198

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124131198
Phone
(517) 676-9788
Address
PO BOX 10
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173474848
Graduation Year
1987 (39 years ago)
PAC ID
6103827456
Professional Enrollment ID
I20100928000610
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Mason, Poschiavo, Bernina, Grisons, 7710, Switzerland

    MASON, MI 488540010

    Phone: (517) 676-9788

    Type: Mailing

  • 808 W LAKE LANSING RD STE 104

    EAST LANSING, MI 488236301

    Phone: (517) 200-3955

    Type: Mailing

  • West Lake Lansing Road, East Lansing, Ingham County, Michigan, 48823, United States

    EAST LANSING, MI 488236301

    Phone: (517) 200-3955

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,574.

Total Amount is formed as General ($1,574) + Research ($0) + Ownership ($0) = $1,574.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($499).

Total Amount

$1,574

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,574

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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
99213Established patient office or other outpatient visit, 20-29 minutes9211$0
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Insurance plans in this area (ZIP 48854)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1124131198.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Mason, Michigan in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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