Unknown Individual – Forensic Psychiatry Physician, NPI 1801956297

Unknown Individual is a healthcare provider. based in Beaumont, Texas. specializing in Forensic Psychiatry Physician. They hold a License No. K5482 (TX). The NPI Number for Unknown Individual is 1801956297

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1801956297
Phone
(409) 839-2241
Address
2750 SOUTH 8TH STREET
Deactivation Date
15 January 2021

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
4098837074
Graduation Year
1997 (29 years ago)
PAC ID
3375690183
Group Practice PAC ID
1658268321
Professional Enrollment ID
I20090414000515
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • A, 2750, South 8th Street, West Oakland, Beaumont, Jefferson County, Texas, 77701, United States

    BUILDING E

    BEAUMONT, TX 77701

    Phone: (409) 839-2241

    Fax: (409) 839-2263

    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 77701)

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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: 1658268321View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Physician AssistantTX
-CA
Psychiatry, NeuropsychiatryTX
Mental Health CounselorTX
Nurse PractitionerTX
Mental Health CounselorTX
P S Y C H I A T R YTX
-TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1801956297 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Forensic Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Beaumont, Texas may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.