Unknown Individual – Psychologist, NPI 1013904978

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Psychologist. They hold a License No. 785P (AR). The NPI Number for Unknown Individual is 1013904978

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013904978
Phone
(479) 709-7399
Address
PO BOX 402330
Deactivation Date
9 May 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

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Provider Addresses for Unknown Individual

  • PO BOX 402330

    ATLANTA, GA 303842330

    Phone: (479) 709-7399

    Fax: (479) 709-7053

    Type: Mailing

  • Sparks Medical Plaza, 1500, Dodson Avenue, Fort Smith, Sebastian County, Arkansas, 72901, United States

    STE240

    FORT SMITH, AR 729015182

    Phone: (479) 709-7455

    Fax: (479) 709-7456

    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 30384)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1013904978?
NPI 1013904978 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Atlanta, Georgia as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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