Unknown Individual – Clinical Psychologist, NPI 1487601894

Unknown Individual is a healthcare provider. based in Delaware, Ohio. specializing in Clinical Psychologist. They hold a License No. 4195 (OH). The NPI Number for Unknown Individual is 1487601894

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487601894
Phone
(740) 362-5073
Address
244 PADDOCK CT
Deactivation Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403625073
Graduation Year
1988 (38 years ago)
PAC ID
5597718171
Professional Enrollment ID
I20050223000463
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

  • 244, Paddock Court, Delaware, Delaware County, Ohio, 43015, United States

    DELAWARE, OH 430151317

    Phone: (740) 362-5073

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour7012$0
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Insurance plans in this area (ZIP 43015)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1487601894 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Delaware?
Unknown Individual currently maps to Delaware, Ohio in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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