Unknown Individual – Clinical Psychologist, NPI 1285658385

Unknown Individual is a healthcare provider. based in Lake city, Florida. specializing in Clinical Psychologist. They hold a License No. PY 3268 (FL). The NPI Number for Unknown Individual is 1285658385

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285658385
Phone
(386) 755-3016
Address
619 S MARION AVE
Deactivation Date
5 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Lake City VA Medical Center, 619, South Marion Avenue, Lake City, Columbia County, Florida, 32025, United States

    VA MEDICAL CENTER

    LAKE CITY, FL 320255808

    Phone: (386) 755-3016

    Fax: (386) 754-6387

    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 32025)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1285658385.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Lake City, Florida for Unknown Individual based on available NPPES addresses.
What if Lake City, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.