Unknown Individual – Psychologist, NPI 1982761243

Unknown Individual is a healthcare provider. based in Saint paul, Minnesota. specializing in Psychologist. They hold a License No. LP2645 (MN). The NPI Number for Unknown Individual is 1982761243

Main info

Organization
Inactive
49 Years Of Experience
Name
Unknown Individual
NPI
1982761243
Phone
(612) 849-5822
Address
2150 BERKELEY AVE
Deactivation Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128495822
Graduation Year
1977 (49 years ago)
PAC ID
1456399294
Professional Enrollment ID
I20050421000576
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

  • 2150 BERKELEY AVE

    SAINT PAUL, MN 551051204

    Phone: (612) 849-5822

    Fax: (651) 305-0219

    Type: Mailing

  • 1405, Lilac Drive North, Golden Valley, Hennepin County, Minnesota, 55422, United States

    STE 150

    GOLDEN VALLEY, MN 554224535

    Phone: (763) 544-8194

    Fax: (763) 544-4413

    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 55105)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1982761243 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Saint Paul, Minnesota for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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