Unknown Individual – Psychiatry Physician, NPI 1417941170

Unknown Individual is a healthcare provider. based in Venice, Florida. specializing in Psychiatry Physician. They hold a License No. LL339 (FL). The NPI Number for Unknown Individual is 1417941170

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417941170
Phone
(941) 584-0043
Address
2350 SCENIC DR
Deactivation Date
9 December 2021
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

  • Scenic Drive, South Venice, Sarasota County, Florida, 34285, United States

    SENIOR FRIENDSHIP CENTERS, INC.

    VENICE, FL 342931510

    Phone: (941) 584-0043

    Fax: (941) 496-8627

    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 34293)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1417941170.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Venice, Florida?
For routing, start with Venice, Florida for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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