Unknown Individual – Psychologist, NPI 1013093996

Unknown Individual is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in Psychologist. They hold a License No. PS015387 (PA). The NPI Number for Unknown Individual is 1013093996

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013093996
Phone
Not provided
Address
409 S 2ND ST STE 2F
Deactivation Date
2 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7172318360
Graduation Year
1999 (27 years ago)
PAC ID
2668481367
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20060407000150
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

  • 2, South 2nd Street, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    HARRISBURG, PA 171041612

    Phone:

    Type: Mailing

  • 205, South Front Street, SoMa, South Harrisburg, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    5TH FL, BMA

    HARRISBURG, PA 17104

    Phone: (717) 231-8360

    Fax: (717) 231-8358

    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 17104)

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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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA
Endocrinology, Internal MedicinePA

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1013093996; 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 Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Harrisburg, Pennsylvania for Unknown Individual; download NPPES for the complete set.
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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