Unknown Individual – Intellectual & Developmental Disabilities Psychologist, NPI 1255475166

Intellectual & Developmental Disabilities Psychologist

Unknown Individual is a healthcare provider. based in Newark, Delaware. specializing in Intellectual & Developmental Disabilities Psychologist. They hold a License No. B1-000303 (DE). The NPI Number for Unknown Individual is 1255475166

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1255475166

Phone

(302) 224-6020

Address

924 OLD HARMONY RD

Deactivation Date

31 July 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

924 OLD HARMONY RD
SUITE 201
NEWARK, DE 197134184
Phone: (302) 224-6020
Fax: (302) 224-6017
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

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 19713)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1255475166 is assigned to Unknown Individual under the national enumeration system.

Why would Unknown Individual's listing show inactive?

Inactive in NPPES means the identifier is not currently active in that dataset.

Can you summarize Unknown Individual's specialty in plain language?

Clinically, the directory lists Unknown Individual with Intellectual & Developmental Disabilities Psychologist. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Newark, Delaware 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.