Unknown Individual – Psychologist, NPI 1508818535

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Psychologist. They hold a License No. 1881 (CT). The NPI Number for Unknown Individual is 1508818535

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508818535
Phone
(203) 710-1995
Address
230 CANNER ST
Deactivation Date
18 September 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

  • 230, Canner Street, Whitney Avenue Historic District, East Rock, New Haven, Connecticut, 06511, United States

    NEW HAVEN, CT 065112233

    Phone: (203) 710-1995

    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.

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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 06511)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1508818535 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Psychologist for Unknown Individual. 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.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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