Unknown Individual – Psychiatry Physician, NPI 1740212216

Unknown Individual is a healthcare provider. based in East liverpool, Ohio. specializing in Psychiatry Physician. They hold a License No. 35058747 (OH). The NPI Number for Unknown Individual is 1740212216

Main info

Organization
Inactive
43 Years Of Experience
Name
Unknown Individual
NPI
1740212216
Phone
(330) 385-1000
Address
15549 STATE ROUTE 170
Deactivation Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309531964
Graduation Year
1983 (43 years ago)
PAC ID
7911995287
Group Practice PAC ID
0446433791
Professional Enrollment ID
I20040505000032
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

Provider Addresses for Unknown Individual

  • 15549 STATE ROUTE 170

    SUITE 10

    EAST LIVERPOOL, OH 439209216

    Phone: (330) 385-1000

    Fax: (330) 385-3588

    Type: Location

  • 127, Estes Avenue, Chestnut Hill, Weirton, Hancock County, West Virginia, 26062, United States

    APT 9

    WEIRTON, WV 260623832

    Phone: (304) 224-1435

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: ABBVIE INC. ($170).

Total Amount

$288

General + Research + Ownership

Payments

17

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

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
90837Psychotherapy, 1 hour3713$0
View full utilization report →

Insurance plans in this area (ZIP 43920)

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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 services1212

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: 0446433791View full group profile
NameSpecialtyState
Mental Health CounselorOH
Certified Clinical Nurse Specialist (Cns)OH

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1740212216.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect East Liverpool, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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