Unknown Individual – Psychologist, NPI 1366537839

Psychologist

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Psychologist. They hold a License No. 24749 (TX). The NPI Number for Unknown Individual is 1366537839

Main info

Organization

Inactive

54 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1366537839

Phone

(806) 351-1560

Address

P O BOX 50360

Deactivation Date

27 April 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8063584231

Graduation Year

1972 (54 years ago)

PAC ID

6002950474

Professional Enrollment ID

I20100223000580

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

P O BOX 50360
AMARILLO, TX 791590360
Phone: (806) 351-1560
Fax: (806) 351-0343
Type: Mailing
6141, West Amarillo Boulevard, Amarillo, Potter County, Texas, 79106, United States
AMARILLO, TX 791061901
Phone: (806) 358-4231
Fax: (806) 358-4296
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79159)

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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 1366537839 for Unknown Individual.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Psychologist. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with Amarillo, Texas. Check all listed addresses for suites or satellite offices.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.