Unknown Individual – Clinical Psychologist, NPI 1275513962

Unknown Individual is a healthcare provider. based in Boulder, Colorado. specializing in Clinical Psychologist. They hold a License No. 1131 (CO). The NPI Number for Unknown Individual is 1275513962

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275513962
Phone
(303) 939-9638
Address
4265 CORRIENTE PL
Deactivation Date
13 March 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

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Provider Addresses for Unknown Individual

  • 4265, Corriente Place, Palo Park, Boulder County, Colorado, 80301, United States

    BOULDER, CO 803011658

    Phone: (303) 939-9638

    Type: Mailing

  • 6550, Gunpark Drive, Boulder, Boulder County, Colorado, 80301, United States

    SUITE 300

    BOULDER, CO 803013337

    Phone: (303) 581-9778

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80301)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1275513962 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Boulder, Colorado.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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