Unknown Individual – Clinical Neuropsychologist, NPI 1740205079

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Clinical Neuropsychologist. They hold a License No. ME36142 (FL). The NPI Number for Unknown Individual is 1740205079

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740205079
Phone
(904) 376-3800
Address
4160 UNIVERSITY BLVD S
Deactivation Date
13 February 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

  • 4160, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322164317

    Phone: (904) 376-3800

    Fax: (904) 733-9598

    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 32216)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1740205079.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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