Unknown Individual – Psychiatry Physician, NPI 1942364435

Unknown Individual is a healthcare provider. based in St george, Utah. specializing in Psychiatry Physician. They hold a License No. M3964 (ID). The NPI Number for Unknown Individual is 1942364435

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942364435
Phone
(435) 652-1897
Address
230 N 1680 E
Deactivation Date
3 January 2024

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4356521897
Graduation Year
1966 (60 years ago)
PAC ID
8426132085
Group Practice PAC ID
5294906855
Professional Enrollment ID
I20080221000259
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

  • 1680 East, Red Cliffs Mall, Middleton, St. George, Washington County, Utah, 84690, United States

    STE H-1

    ST GEORGE, UT 847902579

    Phone: (435) 652-1897

    Fax: (435) 652-5909

    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 25 Open Payments records for all available years, with a total value of $604.

Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($135).

Total Amount

$604

General + Research + Ownership

Payments

25

Total payment records

General Amount

$604

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

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
99214Established patient office or other outpatient visit, 30-39 minutes14734$0
99215Established patient office or other outpatient visit, 40-54 minutes9419$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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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: 5294906855View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Marriage And Family TherapistUT
Nurse PractitionerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1942364435.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists St George, Utah for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.