Unknown Individual – Clinical Neuropsychologist, NPI 1205207735

Unknown Individual is a healthcare provider. based in Mesquite, Texas. specializing in Clinical Neuropsychologist. They hold a License No. 37182 (TX). The NPI Number for Unknown Individual is 1205207735

Main info

Organization
Inactive
14 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205207735
Phone
(214) 418-6343
Address
PO BOX 870848
Deactivation Date
9 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182984375
Graduation Year
2012 (14 years ago)
PAC ID
8426344193
Group Practice PAC ID
7719126655
Professional Enrollment ID
I20160906001662
Data current as of
20 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

  • PO BOX 870848

    MESQUITE, TX 751870848

    Phone: (214) 418-6343

    Type: Mailing

  • 2013 MILLIE ST

    MESQUITE, TX 751491210

    Phone: (214) 418-6343

    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)

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 minutes17761$0
90834Psychotherapy, 45 minutes6527$0
90791Psychiatric diagnostic evaluation3131$0
View full utilization report →

Insurance plans in this area (ZIP 75187)

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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: 7719126655View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1205207735?
NPI 1205207735 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Mesquite, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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