Unknown Individual – Psychologist, NPI 1831124163

Unknown Individual is a healthcare provider. based in Richardson, Texas. specializing in Psychologist. They hold a License No. 31963 (TX). The NPI Number for Unknown Individual is 1831124163

Main info

Organization
Inactive
55 Years Of Experience
Name
Unknown Individual
NPI
1831124163
Phone
(972) 680-1577
Address
PO BOX 835840
Deactivation Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9726129000
Graduation Year
1971 (55 years ago)
PAC ID
3173573797
Group Practice PAC ID
6800879438
Professional Enrollment ID
I20050131000797
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

  • Box Canyon Court, Richardson, Collin County, Texas, 75080, United States

    RICHARDSON, TX 750835840

    Phone: (972) 680-1577

    Type: Mailing

  • Lyndon B Johnson Freeway, Inwood, Dallas, Dallas County, Texas, 75240, United States

    SUITE 264

    DALLAS, TX 752434546

    Phone: (214) 986-4789

    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.

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 75083)

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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: 6800879438View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistTX
-TX
-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 1831124163.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Richardson, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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