Unknown Individual – Clinical Psychologist, NPI 1265767529

Unknown Individual is a healthcare provider. based in Saline, Michigan. specializing in Clinical Psychologist. They hold a License No. 6301008526 (MI). The NPI Number for Unknown Individual is 1265767529

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265767529
Phone
(734) 295-4523
Address
8303 PLATT RD.
Deactivation Date
1 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177822442
Graduation Year
1982 (44 years ago)
PAC ID
1153550892
Group Practice PAC ID
3577512565
Professional Enrollment ID
I20140129001532
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 8303 PLATT RD.

    CENTER FOR FORENSIC PSYCHIATRY

    SALINE, MI 481769773

    Phone: (734) 295-4523

    Fax: (734) 429-1817

    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 48176)

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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: 3577512565View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
-MI
Mental Health CounselorMI
Clinical PsychologistMI

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1265767529.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Saline, Michigan.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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