Unknown Individual – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1376521187

Unknown Individual is a healthcare provider. based in Daytona beach, Florida. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). They hold a License No. 1285 (FL). The NPI Number for Unknown Individual is 1376521187

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376521187
Phone
(800) 539-4228
Address
1150 RED JOHN DR
Deactivation Date
15 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1150, Red John Drive, Daytona Beach, Volusia County, Florida, 32124, United States

    DAYTONA BEACH, FL 321241016

    Phone: (800) 539-4228

    Fax: (386) 236-3175

    Type: Location

  • Magnolia Avenue, South Daytona, Daytona Beach, Volusia County, Florida, 32119, United States

    DAYTONA BEACH, FL 321144304

    Phone: (386) 236-3225

    Fax: (386) 236-3178

    Type: Mailing

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 32124)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1376521187 in the public NPI dataset.
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 healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Daytona Beach, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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