Unknown Individual – Clinical Neuropsychologist, NPI 1154597680

Unknown Individual is a healthcare provider. based in Newark, Delaware. specializing in Clinical Neuropsychologist. They hold a License No. B10000175 (DE). The NPI Number for Unknown Individual is 1154597680

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154597680
Phone
(302) 831-8566
Address
15 OMEGA DR
Deactivation Date
19 April 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 15 OMEGA DR

    BLDG K

    NEWARK, DE 197132057

    Phone: (302) 831-8566

    Fax: (302) 831-8776

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19713)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1154597680.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Newark, Delaware in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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