Unknown Individual – Psychologist, NPI 1255438875

Unknown Individual is a healthcare provider. based in Mobile, Alabama. specializing in Psychologist. They hold a License No. 198 (AL). The NPI Number for Unknown Individual is 1255438875

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255438875
Phone
(251) 479-8677
Address
2411 OLD SHELL ROAD
Deactivation Date
22 January 2021
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

  • 2411, Old Shell Road, Park Place, Ashland Place, Mobile County Commission District 2, Mobile, Mobile County, Alabama, 36607, United States

    MOBILE, AL 36607

    Phone: (251) 479-8677

    Fax: (251) 478-8097

    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 36607)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1255438875 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Alabama?
You will see Mobile, Alabama on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1255438875. Always confirm identity and privileges with the practice and licensing boards.

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