Unknown Individual – Clinical Psychologist, NPI 1083886444

Unknown Individual is a healthcare provider. based in St augustine, Florida. specializing in Clinical Psychologist. They hold a License No. PY 7688 (FL). The NPI Number for Unknown Individual is 1083886444

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083886444
Phone
(855) 832-6727
Address
1140 Hyacinth St
Deactivation Date
27 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 1140 Hyacinth St

    St Augustine, FL 320922432

    Phone: (855) 832-6727

    Fax: (772) 675-9100

    Type: Location

  • 1745 STATE ROAD 16

    ST AUGUSTINE, FL 320840807

    Phone: (904) 540-9107

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 32092)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1083886444.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with St Augustine, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

9, Saint Johns Medical Park Drive, St. Augustine South, Saint Johns County, Florida, 32086, United States
NPI: 1871576405

DR. JANET R. MULLINS (PSYD)

Clinical Psychologist
1 Boone Rd
NPI: 1154394088
129 SURFSIDE AVE
NPI: 1841221298

AVANTI WELLNESS CENTER INC

Mental Health Counselor
165, Southpark Boulevard, St. Augustine South, Saint Johns County, Florida, 32086, United States
NPI: 1861403974
Wicks Branch Road, St. Augustine South, Saint Johns County, Florida, 32086, United States
NPI: 1841382496
8135, Northwest 51st Street, Weschester, Gainesville, Alachua County, Florida, 32653, United States
NPI: 1245312412
1100 S PONCE DE LEON BLVD STE 1
NPI: 1386713048

THE KADIE GROUP, INC

Mental Health Counselor
24, Cathedral Place, Old City, Lincolnville, St. Augustine, St. Johns County, Florida, 32084, United States
NPI: 1801954094

DAVID MICHAEL FEAZELL (PH.D.)

Clinical Psychologist
24, Cathedral Place, Old City, Lincolnville, St. Augustine, St. Johns County, Florida, 32084, United States
NPI: 1427247303