Unknown Individual – Psychiatry Physician, NPI 1316258064

Unknown Individual is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Psychiatry Physician. They hold a License No. 244761 (MA). The NPI Number for Unknown Individual is 1316258064

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316258064
Phone
(401) 225-6306
Address
8220 CASTOR AVE
Deactivation Date
6 March 2025

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
4849410500
Graduation Year
2010 (16 years ago)
PAC ID
5799023800
Group Practice PAC ID
2365340528
Professional Enrollment ID
I20190215000886
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 8220 CASTOR AVE

    PHILADELPHIA, PA 191522729

    Phone: (401) 225-6306

    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)

CMS reports 21 Open Payments records for all available years, with a total value of $426.

Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($129).

Total Amount

$426

General + Research + Ownership

Payments

21

Total payment records

General Amount

$426

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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 hour4224$0
View full utilization report →

Insurance plans in this area (ZIP 19152)

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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: 2365340528View full group profile
NameSpecialtyState
Mental Health CounselorPA
-PA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Mental Health CounselorPA
Nurse PractitionerPA
-PA
Mental Health CounselorPA
P S Y C H I A T R YNC

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1316258064 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Philadelphia?
Public fields place Unknown Individual around Philadelphia, Pennsylvania. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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