Unknown Individual – Clinical Psychologist, NPI 1730151622

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Clinical Psychologist. They hold a License No. 179 (KS). The NPI Number for Unknown Individual is 1730151622

Main info

Organization
Inactive
69 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730151622
Phone
(816) 444-3366
Address
9229 WARD PKWY
Deactivation Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1957 (69 years ago)
PAC ID
2365449865
Professional Enrollment ID
I20061025000640
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 9229, Ward Parkway, Kansas City, Jackson County, Missouri, 64114, United States

    SUITE 365

    KANSAS CITY, MO 641143326

    Phone: (816) 444-3366

    Fax: (816) 237-1942

    Type: Location

  • 6117, Morningside Drive, Morningside, Kansas City, Jackson County, Missouri, 64113, United States

    KANSAS CITY, MO 641132228

    Phone: (816) 363-8182

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64114)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1730151622.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Kansas City, 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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Unknown Individual

Clinical Psychologist
9237, Ward Parkway, Kansas City, Jackson County, Missouri, 64114, United States
NPI: 1992764542