Unknown Individual – Psychologist, NPI 1255493961

Unknown Individual is a healthcare provider. based in Pembroke pines, Florida. specializing in Psychologist. They hold a License No. 7024 (FL). The NPI Number for Unknown Individual is 1255493961

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255493961
Phone
(954) 404-7532
Address
11411 NW 22ND ST
Deactivation Date
20 April 2022
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

  • 11411, Northwest 22nd Street, Pembroke Pines, Broward County, Florida, 33026, United States

    PEMBROKE PINES, FL 330262003

    Phone: (954) 404-7532

    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.

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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 33026)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1255493961 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Pembroke Pines, Florida for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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