Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1609029941

Clinical Child & Adolescent Psychologist

Unknown Individual is a healthcare provider. based in Weston, Florida. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. PY5215 (FL). The NPI Number for Unknown Individual is 1609029941

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1609029941

Phone

(954) 659-0059

Address

1840 MAIN ST

Deactivation Date

17 June 2022

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

1840, Main Street, Weston, Broward County, Florida, 33326, United States
SUITE 102
WESTON, FL 333263685
Phone: (954) 659-0059
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 33326)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?

Yes. Unknown Individual is listed with NPI 1609029941 in the public NPI dataset.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Clinical Child & Adolescent Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

Does Unknown Individual list a practice location?

Patients near Weston, 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.