Unknown Individual – Clinical Psychologist, NPI 1982696316

Unknown Individual is a healthcare provider. based in Blue ash, Ohio. specializing in Clinical Psychologist. They hold a License No. 5656 (OH). The NPI Number for Unknown Individual is 1982696316

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982696316
Phone
(513) 984-1946
Address
4911 TWINBROOK CT
Deactivation Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136713222
Graduation Year
1998 (28 years ago)
PAC ID
0648318311
Group Practice PAC ID
6709790892
Professional Enrollment ID
I20091118000046
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

  • 4911, Twinbrook Court, Kensington Heights, Kenridge, Blue Ash, Hamilton County, Ohio, 45242, United States

    BLUE ASH, OH 452425722

    Phone: (513) 984-1946

    Type: Mailing

  • 2330, Victory Parkway, East Walnut Hills, Cincinnati, Hamilton County, Ohio, 45206, United States

    STE 500

    CINCINNATI, OH 452062839

    Phone: (513) 221-2330

    Fax: (513) 221-8954

    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.

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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 45242)

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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: 6709790892View full group profile

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1982696316 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Blue Ash, Ohio?
For routing, start with Blue Ash, Ohio for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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