Unknown Individual – Clinical Psychologist, NPI 1306845532

Unknown Individual is a healthcare provider. based in Morristown, Tennessee. specializing in Clinical Psychologist. They hold a License No. P1893 (TN). The NPI Number for Unknown Individual is 1306845532

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306845532
Phone
(800) 355-3565
Address
1923 SULPHUR SPRINGS RD
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8659476220
Graduation Year
1993 (33 years ago)
PAC ID
4789840075
Group Practice PAC ID
3577474295
Professional Enrollment ID
I20120801000409
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

Provider Addresses for Unknown Individual

  • 1923, Sulphur Springs Road, Morristown, Hamblen County, Tennessee, 37813, United States

    MORRISTOWN, TN 378135654

    Phone: (800) 355-3565

    Fax: (423) 714-2355

    Type: Mailing

  • 7714 CONNER RD STE 105

    POWELL, TN 378493559

    Phone: (865) 947-6220

    Fax: (865) 512-1069

    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.

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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)

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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 37813)

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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: 3577474295View full group profile

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1306845532.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Morristown, Tennessee.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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