Unknown Individual – Psychologist, NPI 1356423313

Unknown Individual is a healthcare provider. based in Sterling heights, Michigan. specializing in Psychologist. They hold a License No. 6301002319 (MI). The NPI Number for Unknown Individual is 1356423313

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356423313
Phone
(586) 939-8994
Address
38800 VAN DYKE AVE STE 200
Deactivation Date
2 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
4587751698
Professional Enrollment ID
I20071106000192
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

Provider Addresses for Unknown Individual

  • 38800 VAN DYKE AVE STE 200

    STERLING HEIGHTS, MI 483121151

    Phone: (586) 939-8994

    Fax: (248) 641-9931

    Type: Location

  • 4474, Hycliffe Drive, Merhill Acres, Troy, Oakland County, Michigan, 48098, United States

    TROY, MI 480984415

    Phone: (248) 641-9029

    Fax: (248) 641-9931

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48312)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1356423313 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Sterling Heights?
Public fields place Unknown Individual around Sterling Heights, Michigan. 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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Unknown Individual

Psychologist
38800 VAN DYKE AVE STE 200
NPI: 1346322013
6555, 15 Mile Road, Sterling Heights, Macomb County, Michigan, 48312, United States
NPI: 1639217847