Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1710265871

Unknown Individual is a healthcare provider. based in North ridgeville, Ohio. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. CNP (OH). The NPI Number for Unknown Individual is 1710265871

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710265871
Phone
(440) 452-7858
Address
5810 OVERLOOK WAY
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402821383
Graduation Year
2011 (15 years ago)
PAC ID
6305158254
Group Practice PAC ID
5092713529
Professional Enrollment ID
I20150706002691
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 5810 OVERLOOK WAY

    NORTH RIDGEVILLE, OH 440395156

    Phone: (440) 452-7858

    Type: Mailing

  • 5225 N. ABBE ROAD

    SHEFFIELD VILLAGE, OH 44035

    Phone: (440) 934-9158

    Fax: (440) 934-9167

    Type: Location

  • 15655 State Route 170 Ste A

    East Liverpool, OH 439209672

    Phone: (330) 386-4303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2023-06-28 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($122).

Total Amount

$135

General + Research + Ownership

Payments

2

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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 44039)

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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: 5092713529View full group profile
NameSpecialtyState
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1710265871.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with North Ridgeville?
Public fields place Unknown Individual around North Ridgeville, Ohio. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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