Unknown Individual – Clinical Psychologist, NPI 1144378282

Unknown Individual is a healthcare provider. based in Maryville, Tennessee. specializing in Clinical Psychologist. They hold a License No. P560 (TN). The NPI Number for Unknown Individual is 1144378282

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144378282
Phone
(865) 982-0664
Address
400 S WASHINGTON ST
Deactivation Date
10 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8659820664
Graduation Year
1977 (49 years ago)
PAC ID
8325213895
Professional Enrollment ID
I20111212000496
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • South Washington Street, Hillsdale, Maryville, Blount County, East Tennessee, Tennessee, 37804, United States

    MARYVILLE, TN 378045801

    Phone: (865) 982-0664

    Fax: (865) 856-6161

    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 37804)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1144378282 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Tennessee?
You will see Maryville, Tennessee on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1144378282. Always confirm identity and privileges with the practice and licensing boards.

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