Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1255434767

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. 3528 (OH). The NPI Number for Unknown Individual is 1255434767

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255434767
Phone
(513) 398-4679
Address
8180 CORPORATE PARK DR STE 104
Deactivation Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5134696777
Graduation Year
1983 (43 years ago)
PAC ID
4587668389
Professional Enrollment ID
I20060911000183
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

Provider Addresses for Unknown Individual

  • 8180 CORPORATE PARK DR STE 104

    CINCINNATI, OH 452423309

    Phone: (513) 398-4679

    Fax: (513) 469-6781

    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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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45242)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1255434767 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Child & Adolescent Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Cincinnati?
Unknown Individual currently maps to Cincinnati, Ohio in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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