Unknown Individual – Clinical Psychologist, NPI 1023169497

Unknown Individual is a healthcare provider. based in Wilmington, Delaware. specializing in Clinical Psychologist. They hold a License No. B1-0000385 (DE). The NPI Number for Unknown Individual is 1023169497

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023169497
Phone
(302) 734-7740
Address
108 GILLIANS WAY
Deactivation Date
24 November 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

  • 108 GILLIANS WAY

    WILMINGTON, DE 198033356

    Phone: (302) 734-7740

    Fax: (302) 734-7780

    Type: Mailing

  • 884, Walker Road, The Hamlet, Dover, Kent County, Delaware, 19904, United States

    SUITE 5C

    DOVER, DE 199042758

    Phone: (302) 734-7740

    Fax: (302) 734-7780

    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

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 19803)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1023169497; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Wilmington, Delaware for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1023169497. Always confirm identity and privileges with the practice and licensing boards.

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