Unknown Individual – Clinical Psychologist, NPI 1750438438

Unknown Individual is a healthcare provider. based in Warren, Ohio. specializing in Clinical Psychologist. They hold a License No. 202 (OH). The NPI Number for Unknown Individual is 1750438438

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750438438
Phone
(330) 856-6663
Address
8577 E MARKET ST
Deactivation Date
21 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307580101
Graduation Year
1967 (59 years ago)
PAC ID
5193985513
Group Practice PAC ID
9335136795
Professional Enrollment ID
I20120322000146
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

  • East Market Street, Warren, Trumbull County, Ohio, 44484, United States

    WARREN, OH 444842345

    Phone: (330) 856-6663

    Type: Mailing

  • 997, Boardman Canfield Road, Park View Estates, Boardman, Mahoning County, Ohio, 44512, United States

    BOARDMAN, OH 445124223

    Phone: (330) 758-0101

    Type: Location

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 44484)

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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: 9335136795View full group profile
NameSpecialtyState
-OH
Clinical Social WorkerOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1750438438 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Warren, Ohio for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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