Unknown Individual – Psychiatry Physician, NPI 1285969691

Unknown Individual is a healthcare provider. based in Novi, Michigan. specializing in Psychiatry Physician. They hold a License No. 4301047258 (MI). The NPI Number for Unknown Individual is 1285969691

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285969691
Phone
(248) 465-4335
Address
26850 PROVIDENCE PKWY
Deactivation Date
23 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867925335
Graduation Year
1976 (50 years ago)
PAC ID
4082806070
Group Practice PAC ID
2163324492
Professional Enrollment ID
I20101008000658
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

Loading map...

Provider Addresses for Unknown Individual

  • Providence Parkway, Novi, Oakland County, Michigan, 48374:48393, United States

    SUITE 410

    NOVI, MI 483741263

    Phone: (248) 465-4335

    Fax: (248) 465-4535

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 48374)

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: 2163324492View full group profile

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 Unknown Individual's NPI number?
Unknown Individual's NPI is 1285969691 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Novi, Michigan as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DR. ROBERT GARCIA (M.D.)

Child & Adolescent Psychiatry Physician
650 GRISWOLD ST
NPI: 1184622136

DR. LESLEE A EMERSON (D.O.)

Psychiatry Physician
19811 Farmington Rd
NPI: 1205893013

COMMUNITY NETWORK SERVICES

Psychiatry Physician
24230, Karim Boulevard, Novi, Oakland County, Michigan, 48375, United States
NPI: 1770538068
42450, West 12 Mile Road, Novi, Oakland County, Michigan, 48377, United States
NPI: 1093747149
Grand River Avenue, Novi, Oakland County, Michigan, 48165, United States
NPI: 1013019710

DOUGLAS E FELTNER (MD)

Psychiatry Physician
21985, Daleview Drive, Bradford of Novi, Novi, Oakland County, Michigan, 48374, United States
NPI: 1568534071

DR. LINDSAY ROSE DUNSTAN (MD)

Psychiatry Physician
2255 ATKINSON ST
NPI: 1649497850

DR. YOUNG MIN PARK (M.D.)

Psychiatry Physician
Peterboro Place, 10, Peterboro Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States
NPI: 1124235858

DR. ABDULMALEK SADAH (MD)

Psychiatry Physician
7715 Gillcrest Rd
NPI: 1942410667