Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1407062946

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 620435 (TX). The NPI Number for Unknown Individual is 1407062946

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407062946
Phone
(832) 384-1560
Address
2180 NORTH LOOP W
Deactivation Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7136690303
Graduation Year
2006 (20 years ago)
PAC ID
0941391320
Group Practice PAC ID
4688698426
Professional Enrollment ID
I20070814000801
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

  • 2180, North Loop West, Houston, Harris County, Texas, 77018, United States

    450

    HOUSTON, TX 770188014

    Phone: (832) 384-1560

    Fax: (832) 384-1585

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: ABBVIE INC. ($114).

Total Amount

$114

General + Research + Ownership

Payments

4

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$114
View all Open Payments →|Open Payments Risk Radar →

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 77018)

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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: 4688698426View full group profile
NameSpecialtyState
-TX

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1407062946?
NPI 1407062946 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Houston, Texas as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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