Unknown Individual – Psychologist, NPI 1861440851

Unknown Individual is a healthcare provider. based in Canfield, Ohio. specializing in Psychologist. They hold a License No. 680 (OH). The NPI Number for Unknown Individual is 1861440851

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861440851
Phone
(330) 533-6767
Address
3974 BOARDMAN CANFIELD RD
Deactivation Date
25 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305336767
Graduation Year
1994 (32 years ago)
PAC ID
5890709943
Group Practice PAC ID
3173537222
Professional Enrollment ID
I20060131000829
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

  • Boardman Canfield Road, Boardman, Mahoning County, Ohio, 44512, United States

    CANFIELD COUNSELING CLINIC INC

    CANFIELD, OH 44406

    Phone: (330) 533-6767

    Fax: (330) 533-1665

    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 44406)

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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: 3173537222View full group profile
NameSpecialtyState
MS. LISA A HRINA (PMHNP-BC)
-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 1861440851.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Canfield, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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