Unknown Individual – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1205818366

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Psychiatric/Mental Health Clinical Nurse Specialist. They hold a License No. 00906 (CT). The NPI Number for Unknown Individual is 1205818366

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205818366
Phone
(203) 503-3470
Address
226 DIXWELL AVE
Deactivation Date
30 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

  • Dixwell Health Center, 226, Dixwell Avenue, Winchester Repeating Arms Historic District, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065113456

    Phone: (203) 503-3470

    Fax: (203) 503-3478

    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 06511)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1205818366 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Psychiatric/Mental Health Clinical Nurse Specialist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near New Haven, Connecticut may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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