Unknown Individual – Clinical Psychologist, NPI 1831307602

Clinical Psychologist

Unknown Individual is a healthcare provider. based in Yakima, Washington. specializing in Clinical Psychologist. They hold a License No. 1327 (WA). The NPI Number for Unknown Individual is 1831307602

Main info

Organization

Inactive

44 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1831307602

Phone

(509) 966-3868

Address

1016 S 50TH AVE

Deactivation Date

13 February 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5099662794

Graduation Year

1982 (44 years ago)

PAC ID

9032177829

Professional Enrollment ID

I20041227000595

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

1016, South 50th Avenue, Yakima, Yakima County, Washington, 98908, United States
YAKIMA, WA 989083716
Phone: (509) 966-3868
Type: Mailing
617, South 48th Avenue, Yakima, Yakima County, Washington, 98908, United States
YAKIMA, WA 989083614
Phone: (509) 966-2794
Type: Location

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.

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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 98908)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1831307602.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Yakima, Washington; more addresses can appear in NPPES.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.