Unknown Individual – Clinical Psychologist, NPI 1740220334

Unknown Individual is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Clinical Psychologist. They hold a License No. 156 (OK). The NPI Number for Unknown Individual is 1740220334

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740220334
Phone
(405) 942-8888
Address
3832 N MERIDIAN AVE
Deactivation Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
8022157395
Professional Enrollment ID
I20091204000464
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • North Meridian Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    OKLAHOMA CITY, OK 731122820

    Phone: (405) 942-8888

    Fax: (999) 999-9999

    Type: Location

  • 2311, Kiley Way, Edmond, Oklahoma County, Oklahoma, 73034, United States

    EDMOND, OK 730343428

    Phone: (405) 942-8888

    Fax: (999) 999-9999

    Type: Mailing

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour50340$0
90791Psychiatric diagnostic evaluation2121$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1740220334 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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Unknown Individual

Clinical Psychologist
13301, North Meridian Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States
NPI: 1366403073