Unknown Individual – Clinical Psychologist, NPI 1467666529

Unknown Individual is a healthcare provider. based in Dover, Delaware. specializing in Clinical Psychologist. They hold a License No. 840 (MD). The NPI Number for Unknown Individual is 1467666529

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1467666529
Phone
(302) 734-3639
Address
1001 S BRADFORD ST
Deactivation Date
25 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1001, South Bradford Street, Morris Estates, Dover, Kent County, Delaware, 19904, United States

    SUITE #8

    DOVER, DE 199044153

    Phone: (302) 734-3639

    Type: Location

  • 54 BOHEMIA LN

    EARLEVILLE, MD 219191116

    Phone: (410) 275-8833

    Type: Mailing

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 19904)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1467666529.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Clinical Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Dover, Delaware as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.