Unknown Individual – Clinical Psychologist, NPI 1366428989

Unknown Individual is a healthcare provider. based in Allentown, Pennsylvania. specializing in Clinical Psychologist. They hold a License No. PS002984L (PA). The NPI Number for Unknown Individual is 1366428989

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366428989
Phone
(610) 776-2035
Address
825 N CEDAR CREST BLVD
Deactivation Date
4 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6107762035
Graduation Year
1977 (49 years ago)
PAC ID
5395749204
Professional Enrollment ID
I20060907000499
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

  • North Cedar Crest Boulevard, Hilltown, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181043437

    Phone: (610) 776-2035

    Fax: (610) 776-6967

    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)

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.

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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
90791Psychiatric diagnostic evaluation1717$0
96130Evaluation of psychological test, first hour1313$0
96136Administration of psychological or neuropsychological test, first 30 minutes1313$0
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Insurance plans in this area (ZIP 18104)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1366428989.
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 Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Allentown, Pennsylvania because that is what the record indicates for Unknown Individual.
What if Allentown, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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