Unknown Individual – Psychiatry Physician, NPI 1427014562

Unknown Individual is a healthcare provider. based in Lansing, Michigan. specializing in Psychiatry Physician. They hold a License No. 5101008338 (MI). The NPI Number for Unknown Individual is 1427014562

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427014562
Phone
(517) 346-8306
Address
812 E JOLLY RD
Deactivation Date
11 September 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5173364335
Graduation Year
1981 (45 years ago)
PAC ID
6709828288
Group Practice PAC ID
8628248119
Professional Enrollment ID
I20050525000197
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

  • 812, East Jolly Road, Lansing, Ingham County, Michigan, 48910, United States

    STE 210

    LANSING, MI 489106818

    Phone: (517) 346-8306

    Fax: (517) 346-8291

    Type: Mailing

  • 5303, South Cedar Street, Lansing, Ingham County, Michigan, 48910, United States

    STE 109

    LANSING, MI 489113800

    Phone: (517) 346-8025

    Fax: (517) 346-8291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,206.

Total Amount is formed as General ($1,206) + Research ($0) + Ownership ($0) = $1,206.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Ironshore Pharmaceuticals Inc. ($314).

Total Amount

$1,206

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

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.

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

Insurance plans in this area (ZIP 48910)

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: 8628248119View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
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

Can I cross-check Unknown Individual using NPI 1427014562?
NPI 1427014562 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
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 locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Lansing, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

159 SUN CHASE CT
NPI: 1841283199

DR. MARY A HAERING (D.O.)

Psychiatry Physician
Lansing Christian School, Belle Chase Way, Delhi Charter Township, Ingham County, Michigan, 48842, United States
NPI: 1659341402

TARIQ FARIDI (MD)

Psychiatry Physician
PO BOX 30516 DEPT 6000A
NPI: 1659343879

MRS. MIHAELA C. IVAN (MD)

Psychiatry Physician
3955 PATIENT CARE WAY
NPI: 1427022037

DR. JIMMIE L HARRIS (DO)

Psychiatry Physician
East Jolly Road, Lansing, Ingham County, Michigan, 48910, United States
NPI: 1578539128

NANCY DAFASHY HANNA (MD)

Psychiatry Physician
9401 Southwest Fwy
NPI: 1417917741

LOUIS ANSTETT

Psychiatry Physician
South Cedar Street, Cherry Hill, Lansing, Ingham County, Michigan, 48912, United States
NPI: 1144282658

RONALD C MELVIN (DO)

Psychiatry Physician
702 W Lake Lansing Rd
NPI: 1588627590

ANDREW HOMA (MD)

Psychiatry Physician
East Jolly Road, Lansing, Ingham County, Michigan, 48910, United States
NPI: 1164487104