Unknown Individual – Psychologist, NPI 1336172584

Unknown Individual is a healthcare provider. based in North ridgeville, Ohio. specializing in Psychologist. They hold a License No. PC003716 (PA). The NPI Number for Unknown Individual is 1336172584

Main info

Organization
Inactive
17 Years Of Experience
Name
Unknown Individual
NPI
1336172584
Phone
(440) 570-5458
Address
36144 CENTER RIDGE RD
Deactivation Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
2860661089
Professional Enrollment ID
I20150128001622
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 36144, Center Ridge Road, North Ridgeville, Lorain County, Ohio, 44039, United States

    NORTH RIDGEVILLE, OH 440392938

    Phone: (440) 570-5458

    Type: Mailing

  • 29695, Center Ridge Road, The Preserve, Westlake, Cuyahoga County, Ohio, 44145, United States

    WESTLAKE, OH 44145

    Phone: (440) 570-5458

    Type: Location

  • 29695 Center Ridge Rd

    Westlake, OH 44145

    Phone: (440) 570-5458

    Type: Location

  • 37000 CENTER RIDGE RD

    SUITE 3 LOWER LEVEL

    NORTH RIDGEVILLE, OH 440392804

    Phone: (440) 412-3041

    Fax: (440) 628-2422

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour11315$0
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Insurance plans in this area (ZIP 44039)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1336172584 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near North Ridgeville, Ohio may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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