Unknown Individual – Rehabilitation Psychologist, NPI 1528150414

Unknown Individual is a healthcare provider. based in Bend, Oregon. specializing in Rehabilitation Psychologist. They hold a License No. 1229 (OR). The NPI Number for Unknown Individual is 1528150414

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528150414
Phone
(541) 516-3866
Address
2500 NE NEFF RD
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
5417062768
Graduation Year
1988 (38 years ago)
PAC ID
3375730625
Group Practice PAC ID
3870402852
Professional Enrollment ID
I20101213000317
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

  • Saint Charles Medical Center, 2500, Northeast Neff Road, Bend, Deschutes County, Oregon, 97701, United States

    BEND, OR 977016015

    Phone: (541) 516-3866

    Fax: (541) 516-3877

    Type: Location

  • Bend Post Office, 2300, Northeast 4th Street, Orchard District, Bend, Deschutes County, Oregon, 97701, United States

    BEND, OR 977085579

    Phone: (541) 516-3866

    Fax: (541) 516-3877

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97701)

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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: 3870402852View full group profile
NameSpecialtyState
Family PracticeOR
Internal MedicineCA
N E U R O L O G YOR
Internal MedicineOR
-OR
P S Y C H I A T R YOR
-OR
-OR
Internal Medicine, HospitalistOR
N E U R O L O G YOR

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1528150414; it appears in the national provider directory.
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 Rehabilitation Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Bend, Oregon because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1528150414. Always confirm identity and privileges with the practice and licensing boards.

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