Unknown Individual – Psychologist, NPI 1508165176

Unknown Individual is a healthcare provider. based in Oakland park, Florida. specializing in Psychologist. They hold a License No. PY 6617 (FL). The NPI Number for Unknown Individual is 1508165176

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508165176
Phone
(954) 491-7040
Address
4690 NE 4TH AVE
Deactivation Date
22 January 2021
Data current as of
20 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

  • 4690 NE 4TH AVE

    OAKLAND PARK, FL 333346037

    Phone: (954) 491-7040

    Type: Mailing

  • 10400 GRIFFIN RD

    SUITE # 109

    DAVIE, FL 333283337

    Phone: (954) 434-1886

    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 33334)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1508165176?
NPI 1508165176 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Oakland Park, Florida as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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