Unknown Individual – Psychologist, NPI 1487865655

Unknown Individual is a healthcare provider. based in Basking ridge, New Jersey. specializing in Psychologist. They hold a License No. 35SI00362800 (NJ). The NPI Number for Unknown Individual is 1487865655

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487865655
Phone
(908) 630-0777
Address
12 RIDGE ST
Deactivation Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9086300777
Graduation Year
1995 (31 years ago)
PAC ID
6800839630
Professional Enrollment ID
I20050602001048
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

  • 12, Ridge Street, Basking Ridge, Bernards Township, Somerset County, New Jersey, 07920, United States

    BASKING RIDGE, NJ 079201785

    Phone: (908) 630-0777

    Fax: (908) 832-5861

    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.

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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 07920)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1487865655?
NPI 1487865655 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Basking Ridge, New Jersey.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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