Unknown Individual – Psychologist, NPI 1073931366

Unknown Individual is a healthcare provider. based in Mansfield center, Connecticut. specializing in Psychologist. They hold a License No. 3369 (CT). The NPI Number for Unknown Individual is 1073931366

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073931366
Phone
(860) 428-6160
Address
PO BOX 120
Deactivation Date
21 August 2024
Data current as of
20 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

  • PO BOX 120

    MANSFIELD CENTER, CT 062500120

    Phone: (860) 428-6160

    Type: Mailing

  • 1066 STORRS RD

    STORRS, CT 062682648

    Phone: (860) 428-6160

    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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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 06250)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1073931366.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Mansfield Center, Connecticut?
For routing, start with Mansfield Center, Connecticut for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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