Unknown Individual – Clinical Psychologist, NPI 1821086125

Unknown Individual is a healthcare provider. based in Bellingham, Washington. specializing in Clinical Psychologist. They hold a License No. 879 (WA). The NPI Number for Unknown Individual is 1821086125

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821086125
Phone
(360) 650-9435
Address
2210 ELDRIDGE AVE
Deactivation Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606509435
Graduation Year
1975 (51 years ago)
PAC ID
7719144583
Professional Enrollment ID
I20120206000785
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

  • 2210, Eldridge Avenue, Columbia, Bellingham, Whatcom County, Washington, 98225, United States

    BELLINGHAM, WA 982252109

    Phone: (360) 650-9435

    Fax: (360) 650-1341

    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.

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Medicare Enrollment & Revalidation

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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 98225)

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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 1821086125 for Unknown Individual.
What does inactive NPI status mean 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 Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Bellingham, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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