Unknown Individual – Clinical Psychologist, NPI 1700868668

Clinical Psychologist

Unknown Individual is a healthcare provider. based in Flint, Michigan. specializing in Clinical Psychologist. They hold a License No. 6301005468 (MI). The NPI Number for Unknown Individual is 1700868668

Main info

Organization

Inactive

40 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1700868668

Phone

(810) 342-1000

Address

401 S BALLENGER HWY

Deactivation Date

27 February 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8107331596

Graduation Year

1986 (40 years ago)

PAC ID

0244413276

Group Practice PAC ID

8628975497

Professional Enrollment ID

I20110329000046

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

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Provider Addresses for Unknown Individual

McLaren Flint, 401, South Ballenger Highway, Flint, Genesee County, Michigan, 48532, United States
FLINT, MI 485323638
Phone: (810) 342-1000
Fax: (810) 342-1590
Type: Mailing
Beecher Road, Flint, Genesee County, Michigan, 48433, United States
FLINT, MI 485323615
Phone: (810) 342-5620
Type: Location

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
90791	Psychiatric diagnostic evaluation	20	20	$0

View full utilization report →

Insurance plans in this area (ZIP 48532)

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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: 8628975497View full group profile

Name	Specialty	State
NICOLE ELISE WESLEY (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
RADHIKA R KAKARALA (MD)	-	MI
BRENT ALLEN SCOTT (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
ROBIN L ZERKA (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
ALISON SPALDING	Certified Registered Nurse Anesthetist (Crna)	MI
REBECCA WYATT (DO)	Physical Medicine And Rehabilitation	MI
DR. JENNIFER EDWARDS-JOHNSON (D.O)	Family Practice	MI
JULIE MARIE CLIMIE (CRNA)	-	MI
SARAH MARIE PENZEL (NP)	Nurse Practitioner	MI
DR. MARK T NEUMANN (DO)	-	MI

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1700868668 uniquely identifies Unknown Individual in U.S. healthcare data.

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.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Can patients visit Unknown Individual in Flint, Michigan?

For routing, start with Flint, Michigan for Unknown Individual, then verify phone and hours locally.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.