Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1669518635

Unknown Individual is a healthcare provider. based in Norwich, Connecticut. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 002801 (CT). The NPI Number for Unknown Individual is 1669518635

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669518635
Phone
(860) 889-3052
Address
108 NEW LONDON TPKE
Deactivation Date
1 January 2026
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

  • 108, New London Turnpike, Backus Corner, Norwich, New London County, Connecticut, 06360, United States

    NORWICH, CT 063602645

    Phone: (860) 889-3052

    Fax: (860) 889-0926

    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 06360)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1669518635.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Connecticut?
You will see Norwich, Connecticut on file for Unknown Individual alongside any extra practice locations.
What if Norwich, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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