Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1013060474

Unknown Individual is a healthcare provider. based in Norwich, Connecticut. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 001534 (CT). The NPI Number for Unknown Individual is 1013060474

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013060474
Phone
(860) 886-8122
Address
72 NEW LONDON TPKE
Deactivation Date
16 August 2023
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

  • Select Behavioral Health, 72, New London Turnpike, Norwichtown Historic District, Norwichtown, Bean Hill, Norwich, Southeastern Connecticut Planning Region, Connecticut, 06360, United States

    NORWICH, CT 063602614

    Phone: (860) 886-8122

    Fax: (860) 889-7255

    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 06360)

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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 1013060474 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
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?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Norwich, Connecticut in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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