Unknown Individual – Psychologist, NPI 1558657304

Unknown Individual is a healthcare provider. based in Bay pines, Florida. specializing in Psychologist. They hold a License No. PSY 1249 (HI). The NPI Number for Unknown Individual is 1558657304

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558657304
Phone
(727) 398-6661
Address
P.O. BOX 5005
Deactivation Date
16 August 2023
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

  • P.O. BOX 5005

    10000 BAY PINES BLVD (116) BLDG 102 RM D-185

    BAY PINES, FL 337445005

    Phone: (727) 398-6661

    Fax: (727) 398-9509

    Type: Mailing

  • 10000 BAY PINES BLVD

    BLDG 102 RM D-185

    BAY PINES, FL 337445005

    Phone: (727) 398-6661

    Fax: (727) 398-9509

    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

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33744)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1558657304 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Bay Pines, 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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