Unknown Individual – Clinical Psychologist, NPI 1316022338

Unknown Individual is a healthcare provider. based in Nevada, Missouri. specializing in Clinical Psychologist. They hold a License No. 000575 (MO). The NPI Number for Unknown Individual is 1316022338

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316022338
Phone
(417) 667-4230
Address
300 W CHERRY ST
Deactivation Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4176674230
Graduation Year
1992 (34 years ago)
PAC ID
9830164805
Professional Enrollment ID
I20040901000898
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 300, West Cherry Street, Nevada, Vernon County, Missouri, 64772, United States

    NEVADA, MO 647722202

    Phone: (417) 667-4230

    Fax: (417) 667-7607

    Mailing address matches the actual address.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes33112$0
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Insurance plans in this area (ZIP 64772)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1316022338.
Does inactive mean outdated data for Unknown Individual?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.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Nevada, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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