Unknown Individual – Psychiatry Physician, NPI 1003924481

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Psychiatry Physician. They hold a License No. 35.063690 (OH). The NPI Number for Unknown Individual is 1003924481

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003924481
Phone
(614) 299-6600
Address
1301 N HIGH ST
Deactivation Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142996600
Graduation Year
1980 (46 years ago)
PAC ID
1456421957
Group Practice PAC ID
5193612539
Professional Enrollment ID
I20080610000001
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

  • 1301, North High Street, Weinland Park, Columbus, Franklin, Ohio, 43201, United States

    COLUMBUS, OH 432012460

    Phone: (614) 299-6600

    Fax: (614) 421-3111

    Type: Location

  • Riverview Drive, Riverview, Columbus, Sharon, Franklin County, Ohio, 43202, United States

    COLUMBUS, OH 432214909

    Phone: (614) 451-4102

    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.

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 43201)

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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: 5193612539View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
-OH
Clinical Social WorkerOH
Nurse PractitionerOH
Nurse PractitionerOH
P S Y C H I A T R YOH
-OH
Addiction Medicine, Pain ManagementOH
Clinical Social WorkerOH

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1003924481.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Columbus, Ohio. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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