Unknown Individual – Clinical Neuropsychologist, NPI 1841385903

Clinical Neuropsychologist

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Clinical Neuropsychologist. They hold a License No. 0810004534 (VA). The NPI Number for Unknown Individual is 1841385903

Main info

Organization

Inactive

24 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1841385903

Phone

(757) 534-9710

Address

245 CHESAPEAKE AVE

Deactivation Date

17 May 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4097722222

Graduation Year

2002 (24 years ago)

PAC ID

9032125075

Group Practice PAC ID

3375456734

Professional Enrollment ID

I20061117000367

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

245, Chesapeake Avenue, Hampton City, Virginia, 23607, United States
NEWPORT NEWS, VA 236076038
Phone: (757) 534-9710
Fax: (757) 928-8337
Type: Location
856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States
SUITE A
NEWPORT NEWS, VA 236011318
Phone:
Type: Mailing

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.

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 23607)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Neuropsychologist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PSYCHOLOGIST, CLINICAL	VA	96118	Neuropsychological testing, interpretation, and report by psychologist or physician per hour	369	47

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: 3375456734View full group profile

Name	Specialty	State
DR. RAVI RADHAKRISHNAN (MD)	-	TX
ANGELA J SHEPHERD (MD)	-	TX
DR. CHILVANA V PATEL (M.D.)	N E U R O L O G Y	NY
DR. WASYL SZEREMETA (MD MBA)	-	NY
SHAHZAD JOKHIO (MD)	Sleep Medicine, Critical Care (Intensivists)	TX
DR. GURINDER K LUTHRA (DO)	G A S T R O E N T E R O L O G Y	TX
KELSI NICOLE JONES (OD)	O P T O M E T R Y	VA
KEVIN H MERKLEY (M.D.)	O P H T H A L M O L O G Y	TX
ERIKA SCHULZE (NP)	Nurse Practitioner	IL
DR. EDWARD PAUL SOUTHERN (M.D.)	-	FL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1841385903 is assigned to Unknown Individual under the national enumeration system.

Is Unknown Individual's inactive status permanent?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.

Does Unknown Individual practice in Virginia?

You will see Newport News, Virginia on file for Unknown Individual alongside any extra practice locations.

What if Newport News, Virginia seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.