Unknown Individual – Psychologist, NPI 1386687838

Unknown Individual is a healthcare provider. based in Jefferson city, Missouri. specializing in Psychologist. They hold a License No. 01327 (MO). The NPI Number for Unknown Individual is 1386687838

Main info

Organization
Inactive
40 Years Of Experience
Name
Unknown Individual
NPI
1386687838
Phone
(573) 634-5303
Address
3702 W TRUMAN BLVD
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738645617
Graduation Year
1986 (40 years ago)
PAC ID
9133194467
Professional Enrollment ID
I20040831000617
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

  • 3702, West Truman Boulevard, Jefferson City, Cole County, Missouri, 65109, United States

    SUITE 115

    JEFFERSON CITY, MO 651094970

    Phone: (573) 634-5303

    Fax: (573) 761-6888

    Type: Location

  • 338, Oak Road, Bloomfield, Perry County, Pennsylvania, 17068, United States

    NEW BLOOMFIELD, MO 650631147

    Phone: (573) 491-3431

    Fax: (573) 761-6888

    Type: Mailing

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.

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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.

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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 minutes22514$0
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Insurance plans in this area (ZIP 65109)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1386687838.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Jefferson City, Missouri may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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