Unknown Individual – Psychologist, NPI 1528053410

Unknown Individual is a healthcare provider. based in New smyrna beach, Florida. specializing in Psychologist. They hold a License No. PY6507 (FL). The NPI Number for Unknown Individual is 1528053410

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1528053410
Phone
(386) 423-9161
Address
265 N CAUSEWAY
Deactivation Date
17 April 2025
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

  • 265, North Causeway, Bouchelle Island, New Smyrna Beach, Volusia County, Florida, 32169, United States

    NEW SMYRNA BEACH, FL 321695239

    Phone: (386) 423-9161

    Fax: (386) 423-3094

    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 32169)

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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 1528053410.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see New Smyrna Beach, Florida on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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