Unknown Individual – Child & Adolescent Psychiatric/Mental Health Registered Nurse, NPI 1528121670

Unknown Individual is a healthcare provider. based in Athens, Ohio. specializing in Child & Adolescent Psychiatric/Mental Health Registered Nurse. They hold a License No. ANCC #348954-02 (OH). The NPI Number for Unknown Individual is 1528121670

Main info

Organization
Inactive
32 Years Of Experience
Name
Unknown Individual
NPI
1528121670
Phone
(740) 593-3682
Address
90 HOSPITAL DRIVE
Deactivation Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3044227300
Graduation Year
1994 (32 years ago)
PAC ID
4082699525
Group Practice PAC ID
2668758442
Professional Enrollment ID
I20090611000476
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 90, Hospital Drive, Athens, Athens County, Ohio, 45701, United States

    ATHENS, OH 457012301

    Phone: (740) 593-3682

    Fax: (740) 594-5642

    Type: Mailing

  • Farson Street, Belpre, Belpre Township, Washington County, Ohio, 45714, United States

    BELPRE, OH 457141067

    Phone: (740) 423-8095

    Fax: (740) 423-8096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-04-03 • Largest payer in this snapshot: Abbott Laboratories ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$25
View all Open Payments →|Open Payments Risk Radar →

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 45701)

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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: 2668758442View full group profile
NameSpecialtyState
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorWV
-OH

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1528121670 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Child & Adolescent Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Athens, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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