Unknown Individual – Psychiatry Physician, NPI 1912010075

Unknown Individual is a healthcare provider. based in Pompano beach, Florida. specializing in Psychiatry Physician. They hold a License No. ME33297 (FL). The NPI Number for Unknown Individual is 1912010075

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912010075
Phone
(954) 786-2255
Address
1 W SAMPLE RD
Deactivation Date
30 January 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

  • West Sample Road, Pompano Beach, Broward County, Florida, 33064, United States

    SUITE 205

    POMPANO BEACH, FL 330643547

    Phone: (954) 786-2255

    Fax: (954) 786-2147

    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)

CMS reports 92 Open Payments records for all available years, with a total value of $3,208.

Total Amount is formed as General ($3,208) + Research ($0) + Ownership ($0) = $3,208.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($505).

Total Amount

$3,208

General + Research + Ownership

Payments

92

Total payment records

General Amount

$3,208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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 33064)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1912010075 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Pompano Beach, Florida for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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