Unknown Individual – Psychologist, NPI 1457340580

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in Psychologist. They hold a License No. 21638 (FL). The NPI Number for Unknown Individual is 1457340580

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457340580
Phone
(305) 279-1715
Address
9135 S.W. 125 AVE
Deactivation Date
17 November 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

Provider Addresses for Unknown Individual

  • 9135 S.W. 125 AVE

    STE P203

    MIAMI, FL 33186

    Phone: (305) 279-1715

    Fax: (305) 279-1715

    Type: Mailing

  • 9135 S.W. 125 AV.

    P203

    MIAMI, FL 33186

    Phone: (305) 279-1715

    Fax: (305) 279-1715

    Type: Location

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.

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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 33186)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1457340580 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Miami, Florida may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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