Unknown Individual – Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1164514600

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist. They hold a License No. COA02664NS (OH). The NPI Number for Unknown Individual is 1164514600

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164514600
Phone
(513) 721-1500
Address
106 WELLINGTON PL
Deactivation Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5137211500
Graduation Year
1995 (31 years ago)
PAC ID
5496884132
Professional Enrollment ID
I20100518000907
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

  • 106, Wellington Place, Mount Auburn Historic District, Mount Auburn, Cincinnati, Hamilton County, Ohio, 45219, United States

    CINCINNATI, OH 452191710

    Phone: (513) 721-1500

    Fax: (513) 977-4894

    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.

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 45219)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1164514600.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Cincinnati, Ohio in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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