Unknown Individual – Clinical Psychologist, NPI 1073532487

Unknown Individual is a healthcare provider. based in Boca raton, Florida. specializing in Clinical Psychologist. They hold a License No. PY0004474 (FL). The NPI Number for Unknown Individual is 1073532487

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073532487
Phone
(561) 477-6221
Address
11573 KENSINGTON CT
Deactivation Date
5 February 2026
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

  • 11573 KENSINGTON CT

    BOCA RATON, FL 334282415

    Phone: (561) 477-6221

    Fax: (561) 477-3471

    Type: Mailing

  • 8333, West McNab Road, Tamarac, Broward County, Florida, 33321, United States

    SUITE 212

    TAMARAC, FL 333213242

    Phone: (954) 722-6277

    Fax: (954) 722-6447

    Type: Location

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 33428)

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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 1073532487.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Boca Raton, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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