Unknown Individual – Psychiatry Physician, NPI 1962409359

Unknown Individual is a healthcare provider. based in New york, New York. specializing in Psychiatry Physician. They hold a License No. 137328 (NY). The NPI Number for Unknown Individual is 1962409359

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962409359
Phone
(347) 466-2521
Address
88 UNIVERSITY PL RM 705
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
3474662521
Graduation Year
1969 (57 years ago)
PAC ID
0042232431
Professional Enrollment ID
I20051229000076
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 88 UNIVERSITY PL RM 705

    NEW YORK, NY 100034538

    Phone: (347) 466-2521

    Type: Mailing

  • 88 UNIVERSITY PLACE, SUITE 705

    NEW YORK, NY 10003

    Phone: (347) 466-2521

    Type: Location

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 10003)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1962409359.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in New York?
You will see New York, New York on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1962409359. Always confirm identity and privileges with the practice and licensing boards.