Unknown Individual – Psychologist, NPI 1205844271

Unknown Individual is a healthcare provider. based in Hurst, Texas. specializing in Psychologist. They hold a License No. 22649 (TX). The NPI Number for Unknown Individual is 1205844271

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205844271
Phone
(817) 576-4222
Address
124 W HARWOOD RD STE A
Deactivation Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175764222
Graduation Year
1979 (47 years ago)
PAC ID
3779664727
Group Practice PAC ID
4183942204
Professional Enrollment ID
I20080115000762
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 124 W HARWOOD RD STE A

    HURST, TX 760547016

    Phone: (817) 576-4222

    Fax: (817) 576-2200

    Type: Location

  • 1848, Norwood Plaza Court, Hurst, Tarrant County, Texas, 76054, United States

    SUITE 112

    HURST, TX 760543720

    Phone: (817) 282-6655

    Fax: (817) 282-6657

    Type: Mailing

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

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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 76054)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1205844271 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Hurst, Texas in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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