Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1356323364

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. 011732 (CT). The NPI Number for Unknown Individual is 1356323364

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356323364
Phone
(203) 785-2513
Address
230 S FRONTAGE RD
Deactivation Date
14 August 2024
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

  • Nielson and Irving Harris Building, 230, South Frontage Road, Downtown, New Haven, New Haven County, Connecticut, 06519, United States

    CHILD STUDY CENTER, SHM-I-WING

    NEW HAVEN, CT 065191124

    Phone: (203) 785-2513

    Fax: (203) 785-4914

    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 06519)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1356323364 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display New Haven, Connecticut because that is what the record indicates for Unknown Individual.
What if New Haven, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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