Unknown Individual – Health Service Psychologist, NPI 1922001387

Unknown Individual is a healthcare provider. based in Royersford, Pennsylvania. specializing in Health Service Psychologist. They hold a License No. PS002405L (PA). The NPI Number for Unknown Individual is 1922001387

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922001387
Phone
(610) 664-2295
Address
1036 BROADLEAF CIR
Deactivation Date
26 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6106642295
Graduation Year
1974 (52 years ago)
PAC ID
7719970193
Professional Enrollment ID
I20040405000074
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1036 BROADLEAF CIR

    ROYERSFORD, PA 194681631

    Phone: (610) 664-2295

    Fax: (610) 822-0949

    Type: Mailing

  • 950, Valley Road, Preakness, Wayne, Passaic County, New Jersey, 07470, United States

    STE 2704

    WAYNE, PA 190871845

    Phone: (610) 664-2295

    Fax: (610) 687-4133

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 19468)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1922001387 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Health Service Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Royersford, Pennsylvania?
If you are local to Royersford, Pennsylvania, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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