Unknown Individual – Psychologist, NPI 1629177878

Unknown Individual is a healthcare provider. based in Longwood, Florida. specializing in Psychologist. They hold a License No. PY0004040 (FL). The NPI Number for Unknown Individual is 1629177878

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629177878
Phone
(407) 862-3745
Address
161 RAINTREE DR
Deactivation Date
16 June 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

  • 161 RAINTREE DR

    LONGWOOD, FL 327794912

    Phone: (407) 862-3745

    Fax: (407) 862-9432

    Type: Mailing

  • 155 LANDOVER PL

    ISLAND LAKE CENTER

    LONGWOOD, FL 327504924

    Phone: (407) 830-7744

    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 32779)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1629177878.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Longwood, Florida?
For routing, start with Longwood, Florida for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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