Unknown Individual – Psychiatry Physician, NPI 1215962352

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Psychiatry Physician. They hold a License No. H3268 (TX). The NPI Number for Unknown Individual is 1215962352

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215962352
Phone
(361) 851-8598
Address
4646 CORONA DR
Deactivation Date
6 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
5128199400
Graduation Year
1986 (40 years ago)
PAC ID
3678734522
Group Practice PAC ID
2365751468
Professional Enrollment ID
I20120419000730
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

  • 4646, Corona Drive, Corpus Christi, Nueces County, Texas, 78411, United States

    STE. 255

    CORPUS CHRISTI, TX 784114320

    Phone: (361) 851-8598

    Fax: (361) 851-8669

    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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16529$0
99238Hospital discharge day management, 30 minutes or less2423$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 78411)

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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: 2365751468View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YAZ
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1215962352 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Corpus Christi?
Public fields place Unknown Individual around Corpus Christi, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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