Unknown Individual – Clinical Psychologist, NPI 1396770814

Unknown Individual is a healthcare provider. based in Exton, Pennsylvania. specializing in Clinical Psychologist. They hold a License No. PS004356L (PA). The NPI Number for Unknown Individual is 1396770814

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396770814
Phone
(610) 667-8176
Address
675 EXTON CMNS
Deactivation Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6106678176
Graduation Year
1984 (42 years ago)
PAC ID
9234289588
Professional Enrollment ID
I20090609000238
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

  • 675, Exton Commons, Exton, West Whiteland Township, Chester County, Pennsylvania, 19341, United States

    EXTON, PA 193412446

    Phone: (610) 667-8176

    Fax: (610) 280-3373

    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.

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 19341)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1396770814 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Exton?
Public fields place Unknown Individual around Exton, Pennsylvania. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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