Unknown Individual – Psychiatry Physician, NPI 1710950720

Unknown Individual is a healthcare provider. based in Mansfield, Ohio. specializing in Psychiatry Physician. They hold a License No. 35063859 (OH). The NPI Number for Unknown Individual is 1710950720

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710950720
Phone
(419) 526-2655
Address
146 MARION AVE
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
9335103704
Professional Enrollment ID
I20110207000007
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

  • 146, Marion Avenue, Mansfield, Richland County, Ohio, 44903, United States

    MANSFIELD, OH 449032201

    Phone: (419) 526-2655

    Fax: (419) 526-1107

    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)

CMS reports 215 Open Payments records for all available years, with a total value of $4,745.

Total Amount is formed as General ($4,745) + Research ($0) + Ownership ($0) = $4,745.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($810).

Total Amount

$4,745

General + Research + Ownership

Payments

215

Total payment records

General Amount

$4,745

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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
99213Established patient office or other outpatient visit, 20-29 minutes34481$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes24237$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3832$0
99238Hospital discharge day management, 30 minutes or less3731$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3319$0
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Insurance plans in this area (ZIP 44903)

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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
PSYCHIATRYOH90792Psychiatric diagnostic evaluation with medical services7979

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1710950720 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Mansfield, Ohio as the headline location for Unknown Individual here.
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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