Unknown Individual – Psychiatry Physician, NPI 1689640880

Unknown Individual is a healthcare provider. based in Euclid, Ohio. specializing in Psychiatry Physician. They hold a License No. 35071829 (OH). The NPI Number for Unknown Individual is 1689640880

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689640880
Phone
Not provided
Address
24701 EUCLID AVE
Deactivation Date
9 January 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
7719943406
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20041203001004

Contacts

Secure Messaging
johnheather@uhps.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for Unknown Individual

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $310.

Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($125).

Total Amount

$310

General + Research + Ownership

Payments

5

Total payment records

General Amount

$310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9534$0
99213Established patient office or other outpatient visit, 20-29 minutes5931$0
90792Psychiatric diagnostic evaluation with medical services1111$0
View full utilization report →

Insurance plans in this area (ZIP 44117)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYOH90833Psychotherapy, 30 minutes with patient and/or family member6733

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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1689640880 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Euclid?
Unknown Individual currently maps to Euclid, Ohio in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

24701, Euclid Avenue, Cambridge Hills, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1457347817

JOHN L HERTZER (MD)

Psychiatry Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1104885235

JOSEPH LOCALA (MD)

Psychiatry Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1205892759

YUAN-HUA NIMISH THAKORE (MD)

Psychiatry Physician
4400 EUCLID AVE
NPI: 1053356527

ELIZABETH MARIA GIAQUINTO (ANP-BC)

Adult Health Nurse Practitioner
99 NORTHLINE CIR STE 200
NPI: 1538195581

STEPHEN RUEDRICH (MD)

Psychiatry Physician
Euclid Avenue, Brooklyn, Kings County, New York, 11208, United States
NPI: 1093745119

SUSAN L PADRINO (MD)

Psychiatry Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1184640724

MATIG MAVISSAKALIAN (MD)

Psychiatry Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1184640534

ROBERT J RONIS (MD)

Psychiatry Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1760408124