Unknown Individual – Psychiatry Physician, NPI 1245257120

Unknown Individual is a healthcare provider. based in Westland, Michigan. specializing in Psychiatry Physician. They hold a License No. 4301038729 (MI). The NPI Number for Unknown Individual is 1245257120

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245257120
Phone
(734) 367-8403
Address
30901 PALMER RD
Deactivation Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3135652200
Graduation Year
1971 (55 years ago)
PAC ID
5294815437
Group Practice PAC ID
3173429560
Professional Enrollment ID
I20071231000231
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

Loading map...

Provider Addresses for Unknown Individual

  • 30901, Palmer Road, Westland, Wayne County, Michigan, 48186, United States

    WESTLAND, MI 481869529

    Phone: (734) 367-8403

    Fax: (734) 722-9524

    Type: Location

  • 17410, Victor Drive, Maple Hill, Northville Charter Township, Wayne County, Michigan, 48168, United States

    NORTHVILLE, MI 481683229

    Phone: (248) 347-1261

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $292.

Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Indivior Inc. ($214).

Total Amount

$292

General + Research + Ownership

Payments

13

Total payment records

General Amount

$292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

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 minutes8333$0
99214Established patient office or other outpatient visit, 30-39 minutes8330$0
90837Psychotherapy, 1 hour7427$0
96372Injection of drug or substance under skin or into muscle5514$0
90834Psychotherapy, 45 minutes4022$0
View full utilization report →

Insurance plans in this area (ZIP 48186)

Loading plans...

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: 3173429560View full group profile
NameSpecialtyState
-MI
P S Y C H I A T R YMI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Mental Health CounselorMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

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 1245257120.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Westland, Michigan in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

KEON CHANG (M.D.)

Psychiatry Physician
5623, East Dunbar Road, South Monroe, Monroe Charter Township, Monroe County, Michigan, 48161, United States
NPI: 1669451738

Unknown Individual

Psychiatry Physician
841, North Wayne Road, Westland, Wayne County, Michigan, 48185, United States
NPI: 1679544209

Unknown Individual

Psychiatry Physician
Westland, Wayne County, Michigan, United States
NPI: 1831161629

TAE WON PARK (M.D.)

Psychiatry Physician
1547, South Wayne Road, Westland, Wayne County, Michigan, 48186, United States
NPI: 1538133020

HEGIRA HEALTH, INC

Mental Health Clinic/Center (Including Community Mental Health Center)
8623 N Wayne Rd Ste 104
NPI: 1184684979

DR. ELLEN ROTBLATT (MD)

Psychiatry Physician
21700 NORTHWESTERN HWY FL 9
NPI: 1437119872

DR. SREEDHARAN D NAIR (M.D)

Psychiatry Physician
37664, Ford Road, Westland, Wayne County, Michigan, 48185, United States
NPI: 1972566909

DR. KEUM DUK KANG-CHUN (M.D.)

Forensic Psychiatry Physician
8623, North Wayne Road, Westland, Wayne County, Michigan, 48185, United States
NPI: 1881627941