Unknown Individual – Psychiatry Physician, NPI 1831161710

Unknown Individual is a healthcare provider. based in Virginia beach, Virginia. specializing in Psychiatry Physician. They hold a License No. 0101031222 (VA). The NPI Number for Unknown Individual is 1831161710

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831161710
Phone
(757) 962-2780
Address
770 LYNNHAVEN PARKWAY
Deactivation Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578024500
Graduation Year
1974 (52 years ago)
PAC ID
7618145236
Group Practice PAC ID
2668614272
Professional Enrollment ID
I20110725000740
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

  • 770, Lynnhaven Parkway, Virginia Beach, Virginia, 23452, United States

    SUITE 240

    VIRGINIA BEACH, VA 23452

    Phone: (757) 962-2780

    Fax: (757) 240-5936

    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 23452)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYVA90792Psychiatric diagnostic evaluation with medical services2727
PSYCHIATRYVA90836Psychotherapy, 45 minutes with patient and/or family member26354

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: 2668614272View full group profile

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1831161710.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Virginia Beach, Virginia?
If you are local to Virginia Beach, Virginia, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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