Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1124048392

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. 35.055957 (OH). The NPI Number for Unknown Individual is 1124048392

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124048392
Phone
(513) 636-4225
Address
3333 BURNET AVE
Deactivation Date
10 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5136364200
Graduation Year
1985 (41 years ago)
PAC ID
1557357589
Group Practice PAC ID
8426955733
Professional Enrollment ID
I20040423000673
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

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Provider Addresses for Unknown Individual

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229-3026, United States

    ML 5021

    CINCINNATI, OH 452293039

    Phone: (513) 636-4225

    Fax: (513) 636-2511

    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.

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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)

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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 45229)

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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: 8426955733View full group profile

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1124048392.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Cincinnati, Ohio on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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