Unknown Individual – Clinical Psychologist, NPI 1639256753

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Clinical Psychologist. They hold a License No. 01191 (MO). The NPI Number for Unknown Individual is 1639256753

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639256753
Phone
(816) 333-0606
Address
6155 OAK ST
Deactivation Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162464343
Graduation Year
1966 (60 years ago)
PAC ID
9830168905
Group Practice PAC ID
4284768516
Professional Enrollment ID
I20040927000738
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

  • 6155, Oak Street, Morningside, Kansas City, Jackson County, Missouri, 64113, United States

    SUITE E

    KANSAS CITY, MO 641132238

    Phone: (816) 333-0606

    Fax: (816) 523-5418

    Type: Location

  • 10117, Forest Avenue, Indian Heights, Kansas City, Jackson County, Missouri, 64131, United States

    KANSAS CITY, MO 641313329

    Phone: (816) 333-0606

    Fax: (816) 523-5418

    Type: Mailing

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 64113)

Loading plans...

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: 4284768516View full group profile

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

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1639256753.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Kansas City, Missouri for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MARY JANE HARMLESS (PH.D.)

Clinical Psychologist
The Transgender Institute, 8080, Ward Parkway, Kansas City, Jackson County, Missouri, 64114, United States
NPI: 1770589632

NICHOLAS NOLL (PH.D.)

Clinical Neuropsychologist
1208, Northeast 97th Street, Kansas City, Clay County, Missouri, 64155, United States
NPI: 1407854292
Broadway Street, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States
NPI: 1245226745

RAPHAEL G SMITH (PSY D, HSPP)

Clinical Psychologist
4044, Central Street, Westport, Kansas City, Jackson County, Missouri, 64111, United States
NPI: 1093792392

DR. REX WARREN BULL (PH.D.)

Clinical Psychologist
30, West Winthrope Road, Armour Hills, Kansas City, Jackson County, Missouri, 64113, United States
NPI: 1013995075

Unknown Individual

Clinical Psychologist
9229, Ward Parkway, Kansas City, Jackson County, Missouri, 64114, United States
NPI: 1730151622

RHONDA L JOHNSON (PHD)

Clinical Psychologist
901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States
NPI: 1518935196
9501 N Oak Trfy
NPI: 1952370942