Unknown Individual – Clinical Psychologist, NPI 1134141013

Unknown Individual is a healthcare provider. based in Calabasas, California. specializing in Clinical Psychologist. They hold a License No. PSY4702 (CA). The NPI Number for Unknown Individual is 1134141013

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134141013
Phone
(818) 222-2024
Address
4766 PARK GRANADA STE 208
Deactivation Date
17 April 2025
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

Provider Addresses for Unknown Individual

  • 4766 PARK GRANADA STE 208

    CALABASAS, CA 913023339

    Phone: (818) 222-2024

    Fax: (818) 999-4655

    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 91302)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1134141013 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
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 Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Calabasas, California because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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