Unknown Individual – Clinical Psychologist, NPI 1144200494

Unknown Individual is a healthcare provider. based in Savannah, Georgia. specializing in Clinical Psychologist. They hold a License No. 5475 (OH). The NPI Number for Unknown Individual is 1144200494

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144200494
Phone
(937) 902-6219
Address
122 BLUE MARLIN DR
Deactivation Date
2 August 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

  • 122 BLUE MARLIN DR

    SAVANNAH, GA 314102914

    Phone: (937) 902-6219

    Type: Mailing

  • East Second Street Historic District, Dayton, Montgomery County, Ohio, 45423, United States

    SUITE 425

    DAYTON, OH 454021623

    Phone: (937) 902-6219

    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 31410)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1144200494.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Savannah, Georgia in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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