Unknown Individual – Psychologist, NPI 1831160449

Unknown Individual is a healthcare provider. based in Roanoke, Virginia. specializing in Psychologist. They hold a License No. 0904001141 (VA). The NPI Number for Unknown Individual is 1831160449

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831160449
Phone
(540) 772-5153
Address
2727 ELECTRIC RD
Deactivation Date
27 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407725153
Graduation Year
1990 (36 years ago)
PAC ID
2062432347
Group Practice PAC ID
4981606076
Professional Enrollment ID
I20051201000311
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

  • 2727, Electric Road, Glenmont, Cave Spring, Roanoke County, Virginia, 24018, United States

    SUITE 100

    ROANOKE, VA 240183547

    Phone: (540) 772-5153

    Fax: (540) 772-5157

    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 24018)

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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: 4981606076View full group profile
NameSpecialtyState
DR. EMILY A DEFRANCE (PHD)
Clinical PsychologistNH
KRISTINA STONE (LCSW)
Clinical Social WorkerVA
ROBYN WALDEN (LCSW)
Clinical Social WorkerVA
DAVID MESHORER (PH.D.)
-VA
BARBARA HORTON (LCSW)
Clinical Social WorkerVA
LOLA BYRD (PSY.D.)
-VA
JOHN HEIL (DA)
Clinical PsychologistVA
ALICE WILKERSON (PH.D.)
Mental Health CounselorVA
SAMUEL JR. ROGERS (PH.D.)
Clinical PsychologistVA
MRS. CORINNE MCKINNEY (LCSW)
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1831160449 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Roanoke, Virginia in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.