Unknown Individual – Clinical Psychologist, NPI 1376553594

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Clinical Psychologist. They hold a License No. 24604 (TX). The NPI Number for Unknown Individual is 1376553594

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1376553594
Phone
(281) 394-8876
Address
9525 KATY FWY STE 210
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134639449
Graduation Year
1990 (36 years ago)
PAC ID
8820041262
Group Practice PAC ID
4587618319
Professional Enrollment ID
I20050225000575
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

Provider Addresses for Unknown Individual

  • 9525 KATY FWY STE 210

    HOUSTON, TX 770241432

    Phone: (281) 394-8876

    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.

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

Insurance plans in this area (ZIP 77024)

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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: 4587618319View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical Social WorkerTX
Mental Health CounselorTX
Clinical Social WorkerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1376553594.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Houston, Texas. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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