Unknown Individual – Counseling Psychologist, NPI 1063424075

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Counseling Psychologist. They hold a License No. PY3902 (FL). The NPI Number for Unknown Individual is 1063424075

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063424075
Phone
(813) 972-2000
Address
13000 BRUCE B DOWNS BLVD
Deactivation Date
20 October 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

  • James A. Haley Veterans' Hospital, 13000, Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33612, United States

    TAMPA, FL 336124745

    Phone: (813) 972-2000

    Fax: (813) 903-4814

    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.

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.

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 33612)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1063424075 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Tampa, Florida in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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