Unknown Individual – Clinical Psychologist, NPI 1003973629

Unknown Individual is a healthcare provider. based in Greenacres, Florida. specializing in Clinical Psychologist. They hold a License No. PY5225 (FL). The NPI Number for Unknown Individual is 1003973629

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003973629
Phone
(561) 855-8278
Address
6415 LAKE WORTH RD
Deactivation Date
24 May 2021
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

  • 6415, Lake Worth Road, Greenacres, Palm Beach County, Florida, 33463, United States

    STE. 208

    GREENACRES, FL 334632910

    Phone: (561) 855-8278

    Type: Location

  • 215, Via Villagio, Villagio Del Mar, Hypoluxo, Palm Beach County, Florida, 33462, United States

    HYPOLUXO, FL 334627043

    Phone: (561) 855-8278

    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.

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Medicare Enrollment & Revalidation

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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 33463)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1003973629.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Greenacres, Florida as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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