Unknown Individual – Clinical Psychologist, NPI 1164534186

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Clinical Psychologist. They hold a License No. 2-4899 (TX). The NPI Number for Unknown Individual is 1164534186

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164534186
Phone
(210) 690-6014
Address
13138 HUNTERS BROOK ST
Deactivation Date
9 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106160828
Graduation Year
1991 (35 years ago)
PAC ID
4880656743
Group Practice PAC ID
1052540176
Professional Enrollment ID
I20041102000914
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

  • Hunters Brook, Hunters Creek, San Antonio, Bexar County, Texas, 78231, United States

    SAN ANTONIO, TX 782302002

    Phone: (210) 690-6014

    Fax: (210) 493-3606

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes611100$0
90834Psychotherapy, 45 minutes52790$0
90837Psychotherapy, 1 hour38268$0
90791Psychiatric diagnostic evaluation6060$0
View full utilization report →

Insurance plans in this area (ZIP 78230)

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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: 1052540176View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Mental Health CounselorTX
Clinical PsychologistTX
Clinical Social WorkerTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1164534186 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with San Antonio, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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