Unknown Individual – Clinical Psychologist, NPI 1114979788

Unknown Individual is a healthcare provider. based in Huntsville, Alabama. specializing in Clinical Psychologist. They hold a License No. 1345 (AL). The NPI Number for Unknown Individual is 1114979788

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114979788
Phone
(256) 348-5222
Address
209 LINCOLN ST SE
Deactivation Date
14 February 2024
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

  • 209, Lincoln Street Southeast, Twickenham Historic District, Echols Hill, Huntsville, Madison County, Alabama, 35801, United States

    HUNTSVILLE, AL 358014189

    Phone: (256) 348-5222

    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.

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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 35801)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1114979788 for Unknown Individual, then check state licensing separately.
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 is Unknown Individual's primary classification?
Clinical Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Huntsville, Alabama in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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