Unknown Individual – Clinical Psychologist, NPI 1740278498

Unknown Individual is a healthcare provider. based in Newtown square, Pennsylvania. specializing in Clinical Psychologist. They hold a License No. PS-000371-L (PA). The NPI Number for Unknown Individual is 1740278498

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740278498
Phone
(610) 733-9304
Address
10 FOX RUN LN
Deactivation Date
29 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107339304
Graduation Year
1979 (47 years ago)
PAC ID
2961493549
Professional Enrollment ID
I20040521000687
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

  • 10, Fox Run Lane, Newtown, Fairfield County, Connecticut, 06740, United States

    NEWTOWN SQUARE, PA 190731004

    Phone: (610) 733-9304

    Fax: (610) 644-4075

    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.

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Medicare Enrollment & Revalidation

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19073)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1740278498.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Newtown Square, Pennsylvania?
For routing, start with Newtown Square, Pennsylvania for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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