Unknown Individual – Clinical Psychologist, NPI 1992740922

Unknown Individual is a healthcare provider. based in Golden valley, Minnesota. specializing in Clinical Psychologist. They hold a License No. LP0158 (MN). The NPI Number for Unknown Individual is 1992740922

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992740922
Phone
(763) 595-7294
Address
5101 OLSON MEMORIAL HWY
Deactivation Date
27 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
0143269829
Professional Enrollment ID
I20050502001091
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

  • 5101, Olson Memorial Highway, Golden Valley, Hennepin County, Minnesota, 55422, United States

    SUITE 4003

    GOLDEN VALLEY, MN 554225149

    Phone: (763) 595-7294

    Fax: (763) 595-7293

    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 55422)

Loading plans...

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

How do I look up Unknown Individual by NPI?
Use NPI 1992740922 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.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Golden Valley, Minnesota because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1992740922. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

SONIA COELHO MOSCH (PH.D.)

Clinical Psychologist
3400 W 66th St Ste 150
NPI: 1356348494

GUNTHER & ASSOCIATES, P.A.

Clinical Psychologist
PO BOX 43907
NPI: 1710963988

SCOTT MITCHEL KAMILAR (PH.D.)

Clinical Psychologist
8085 WAYZATA BLVD STE 216
NPI: 1174571384

DR. LUCINDA CUMMINGS (PH.D.)

Clinical Psychologist
8085, Wayzata Boulevard, Golden Valley, Hennepin County, Minnesota, 55426, United States
NPI: 1316991342

CHARLES A GREENMAN (LP)

Clinical Psychologist
1001 Highway 7 Ste 309
NPI: 1629015631
5101, Olson Memorial Highway, Golden Valley, Hennepin County, Minnesota, 55422, United States
NPI: 1922046481
8085, Wayzata Boulevard, Golden Valley, Hennepin County, Minnesota, 55426, United States
NPI: 1043252547

KATHRYN B. MILLER, P.A.

Clinical Psychologist
5101, Olson Memorial Highway, Golden Valley, Hennepin County, Minnesota, 55422, United States
NPI: 1114969409
5101, Olson Memorial Highway, Golden Valley, Hennepin County, Minnesota, 55422, United States
NPI: 1558305565