Unknown Individual – Psychiatry Physician, NPI 1790776151

Unknown Individual is a healthcare provider. based in Stuart, Florida. specializing in Psychiatry Physician. They hold a License No. ME0008340 (FL). The NPI Number for Unknown Individual is 1790776151

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790776151
Phone
(772) 283-5721
Address
509 SE RIVERSIDE DR
Deactivation Date
13 December 2023
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

  • John B Fasano MD, 509, Southeast Riverside Drive, Stuart, Martin County, Florida, 34994, United States

    STE 204

    STUART, FL 349942579

    Phone: (772) 283-5721

    Fax: (772) 286-6026

    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.

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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 34994)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1790776151?
NPI 1790776151 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Stuart, Florida as the headline location for Unknown Individual here.
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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