Unknown Individual – Psychiatry Physician, NPI 1558350603

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Psychiatry Physician. They hold a License No. J7571 (TX). The NPI Number for Unknown Individual is 1558350603

Main info

Organization
Inactive
53 Years Of Experience
Name
Unknown Individual
NPI
1558350603
Phone
(361) 857-2090
Address
4234 WEBER ROAD
Deactivation Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3617773991
Graduation Year
1973 (53 years ago)
PAC ID
3678615739
Group Practice PAC ID
1557337490
Professional Enrollment ID
I20100127000764
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

  • 4234, Weber Road, Corpus Christi, Nueces County, Texas, 78411, United States

    CORPUS CHRISTI, TX 784113603

    Phone: (361) 857-2090

    Fax: (361) 814-6302

    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 23 Open Payments records for all available years, with a total value of $525.

Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($223).

Total Amount

$525

General + Research + Ownership

Payments

23

Total payment records

General Amount

$525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10950$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: 1557337490View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Mental Health CounselorTX
Mental Health CounselorTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1558350603; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Corpus Christi, Texas for Unknown Individual; expand the address list for detail.
What if Corpus Christi, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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