Unknown Individual – Psychiatry Physician, NPI 1811158934

Unknown Individual is a healthcare provider. based in Lake city, Florida. specializing in Psychiatry Physician. They hold a License No. 8347 (ME). The NPI Number for Unknown Individual is 1811158934

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811158934
Phone
(386) 755-3016
Address
619 S MARION AVE
Deactivation Date
17 January 2024
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

Loading map...

Provider Addresses for Unknown Individual

  • Lake City VA Medical Center, 619, South Marion Avenue, Lake City, Columbia County, Florida, 32025, United States

    LAKE CITY, FL 320255808

    Phone: (386) 755-3016

    Fax: (386) 758-3212

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 32025)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1811158934.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Lake City, Florida for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1811158934. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

IVAN D. LOPEZ (M.D.)

Psychiatry Physician
439, Southwest Michigan Street, Georgetown, Seattle, King County, Washington, 98106, United States
NPI: 1760470306
620 JOHN PAUL JONES CIR
NPI: 1477523256
315 PALM COAST PKWY NE
NPI: 1285699025

DR. RAJANI K RAVINDRA (MD)

Psychiatry Physician
1740, West US Highway 90, Lake City, Columbia County, Florida, 32055, United States
NPI: 1952347767

GHANSHYAMBHAI K PATEL (M.D.)

Psychiatry Physician
518, Southwest Windsor Drive, Lake City, Columbia County, Florida, 32024, United States
NPI: 1346277936

DR. MARCIA REED FLUGSRUD-BRECKENRIDGE (MD,PHD)

Child & Adolescent Psychiatry Physician
Lake City VA Medical Center, 619, South Marion Avenue, Lake City, Columbia County, Florida, 32025, United States
NPI: 1396766317

UMESH MADHAV MHATRE (M.D.)

Psychiatry Physician
165 SW VISION GLENN
NPI: 1013098144

UMESH M MHATRE MD

Psychiatry Physician
165 SW VISION GLENN
NPI: 1962552752
PO BOX 141448
NPI: 1669647533