Unknown Individual – Psychologist, NPI 1720148463

Unknown Individual is a healthcare provider. based in Highland heights, Ohio. specializing in Psychologist. They hold a License No. 2510 (OH). The NPI Number for Unknown Individual is 1720148463

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1720148463
Phone
(440) 473-9672
Address
5564 WILSON MILLS RD
Deactivation Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404739672
Graduation Year
1969 (57 years ago)
PAC ID
9234394289
Professional Enrollment ID
I20120626000272
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

  • 5564, Wilson Mills Road, Highland Heights, Cuyahoga County, Ohio, 44143, United States

    SUITE 201

    HIGHLAND HEIGHTS, OH 441433265

    Phone: (440) 473-9672

    Fax: (440) 461-1047

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44143)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1720148463; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Highland Heights, Ohio for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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