Unknown Individual – Psychologist, NPI 1831139567

Unknown Individual is a healthcare provider. based in Erie, Pennsylvania. specializing in Psychologist. They hold a License No. PS004909L (PA). The NPI Number for Unknown Individual is 1831139567

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831139567
Phone
(814) 833-7246
Address
1946 W 26TH ST
Deactivation Date
10 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144616591
Graduation Year
2001 (25 years ago)
PAC ID
6709810823
Professional Enrollment ID
I20050919000776
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

  • 1946, West 26th Street, Baldwin Park, Erie, Erie County, Pennsylvania, 16508, United States

    ERIE, PA 165081162

    Phone: (814) 833-7246

    Fax: (814) 833-1147

    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

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.

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

Insurance plans in this area (ZIP 16508)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1831139567 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Erie, Pennsylvania because that is what the record indicates for Unknown Individual.
What if Erie, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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