Unknown Individual – Clinical Psychologist, NPI 1447328182

Unknown Individual is a healthcare provider. based in Van wert, Ohio. specializing in Clinical Psychologist. They hold a License No. 4276 (OH). The NPI Number for Unknown Individual is 1447328182

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447328182
Phone
(419) 238-1430
Address
361 E ERVIN RD
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192383434
Graduation Year
1988 (38 years ago)
PAC ID
2062598097
Group Practice PAC ID
6901794015
Professional Enrollment ID
I20080331000373
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

  • 361, East Ervin Road, Van Wert, Van Wert County, Ohio, 45891, United States

    VAN WERT, OH 458912521

    Phone: (419) 238-1430

    Fax: (419) 238-5571

    Type: Mailing

  • 15145, Lincoln Highway, Van Wert, Van Wert County, Ohio, 45891, United States

    VAN WERT, OH 458919619

    Phone: (888) 241-1780

    Fax: (419) 238-5571

    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.

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

Insurance plans in this area (ZIP 45891)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Psychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALOH90853Group psychotherapy22417

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: 6901794015View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
P S Y C H I A T R YOH
Mental Health CounselorOH
P S Y C H I A T R YOH
Nurse PractitionerOH
-OH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1447328182 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Van Wert, Ohio for Unknown Individual; expand the address list for detail.
What if Van Wert, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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