Unknown Individual – Clinical Neuropsychologist, NPI 1922060078

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Clinical Neuropsychologist. They hold a License No. 23683 (TX). The NPI Number for Unknown Individual is 1922060078

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922060078
Phone
Not provided
Address
PO BOX 99335
Deactivation Date
1 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177023100
Graduation Year
1987 (39 years ago)
PAC ID
0941264709
Group Practice PAC ID
4587963582
Professional Enrollment ID
I20041112000336
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • FT, R 42, Zieglöde, Frauenzell, Wiesent, Wörth an der Donau (VGem), Landkreis Regensburg, Bavaria, 93109, Germany

    FORT WORTH, TX 761990335

    Phone:

    Type: Mailing

  • UNTHSC Health Pavilion, 855, Montgomery Street, Fort Worth, Tarrant County, Texas, 76107, United States

    FORT WORTH, TX 761072553

    Phone: (817) 735-2400

    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.

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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.

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Medicare Utilization (FFS)

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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 76199)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Neuropsychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALTX96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour4531

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: 4587963582View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1922060078.
Does inactive mean outdated data 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 Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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