Unknown Individual – Psychiatry Physician, NPI 1477526127

Unknown Individual is a healthcare provider. based in Indiana, Pennsylvania. specializing in Psychiatry Physician. They hold a License No. 35-0292780 (OH). The NPI Number for Unknown Individual is 1477526127

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477526127
Phone
(724) 357-7196
Address
9 N 7TH ST
Deactivation Date
8 September 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4122433400
Graduation Year
1966 (60 years ago)
PAC ID
2668376161
Group Practice PAC ID
7012991110
Professional Enrollment ID
I20130529000559
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

  • 9, North 7th Street, Terre Haute, Vigo County, Indiana, 47807, United States

    SUITE 203

    INDIANA, PA 157011880

    Phone: (724) 357-7196

    Fax: (724) 357-7279

    Type: Mailing

  • 850, Hospital Road, Franklin, Johnson County, Indiana, 46131, United States

    SUITE 2200

    INDIANA, PA 157013662

    Phone: (724) 464-0270

    Fax: (724) 464-0274

    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 15701)

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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: 7012991110View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1477526127 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Psychiatry Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Indiana, Pennsylvania may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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