Unknown Individual – Clinical Psychologist, NPI 1568425940

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Clinical Psychologist. They hold a License No. PY0325 (NV). The NPI Number for Unknown Individual is 1568425940

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568425940
Phone
(702) 505-4553
Address
PO BOX 35968
Deactivation Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
5698765766
Professional Enrollment ID
I20040512001418
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

  • PO BOX 35968

    LAS VEGAS, NV 891335968

    Phone: (702) 505-4553

    Fax: (702) 341-9587

    Type: Mailing

  • 7200, Cathedral Rock Drive, Las Vegas, Clark County, Nevada, 89128, United States

    120

    LAS VEGAS, NV 891280438

    Phone: (702) 370-8484

    Fax: (702) 341-9587

    Type: Location

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 89133)

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

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1568425940; it appears in the national provider directory.
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 shows for Unknown Individual?
We surface Las Vegas, Nevada for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

DR. VERNE E LEWIS (PHD)

Cognitive & Behavioral Psychologist
1980 FESTIVAL PLAZA DR
NPI: 1053317040

MS. OMEGA JODEAN GALLIANO (M.S.)

Addiction (Substance Use Disorder) Counselor
9413, Drew Court, Peccole Ranch, The Lakes, Las Vegas, Clark County, Nevada, 89117, United States
NPI: 1780665687

DR. JUDY SEYMORE (PSYD)

Clinical Psychologist
8240, West Charleston Boulevard, Buffalo, Las Vegas, Clark County, Nevada, 89117, United States
NPI: 1902881709

DR. BARBARA PARRY (PHD.)

Clinical Psychologist
8240, West Charleston Boulevard, Buffalo, Las Vegas, Clark County, Nevada, 89117, United States
NPI: 1033194840

S. JUDY HSIEH (PH.D)

Clinical Psychologist
19925, Stevens Creek Boulevard, Cupertino, Santa Clara County, California, 95014, United States
NPI: 1609817733
Wellness Way, Las Vegas, Clark County, Nevada, 89102-2333, United States
NPI: 1730113168
15661 HALINOR ST
NPI: 1659392140
Community College Drive, Charleston Heights, Las Vegas, Clark County, Nevada, 89146-1126, United States
NPI: 1568483477
8250 N GRAND CANYON DR UNIT 1184
NPI: 1477577971