Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1225059967

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. 14966 (SC). The NPI Number for Unknown Individual is 1225059967

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225059967
Phone
(806) 793-7491
Address
4401 A 6TH STREET
Deactivation Date
13 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
8067937491
Graduation Year
1987 (39 years ago)
PAC ID
5193616712
Professional Enrollment ID
I20040323001124
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6th Street, Lubbock, Lubbock County, Texas, 79409, United States

    LUBBOCK, TX 79416

    Phone: (806) 793-7491

    Fax: (806) 793-4780

    Type: Mailing

  • 6th Street, Lubbock, Lubbock County, Texas, 79416, United States

    LUBBOCK, TX 79416

    Phone: (806) 793-7491

    Fax: (806) 793-4780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $262.

Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Alkermes, Inc. ($137).

Total Amount

$262

General + Research + Ownership

Payments

14

Total payment records

General Amount

$262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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
99213Established patient office or other outpatient visit, 20-29 minutes7127$0
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Insurance plans in this area (ZIP 79416)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1225059967.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Lubbock, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.