Unknown Individual – Clinical Psychologist, NPI 1407830722

Unknown Individual is a healthcare provider. based in Alpharetta, Georgia. specializing in Clinical Psychologist. They hold a License No. 2390 (NC). The NPI Number for Unknown Individual is 1407830722

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407830722
Phone
(404) 316-1654
Address
60 FAIRWAY RIDGE DR
Deactivation Date
17 January 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

  • 60, Fairway Ridge Drive, Rivermont, Alpharetta, Fulton County, Georgia, 30022, United States

    ALPHARETTA, GA 300225420

    Phone: (404) 316-1654

    Fax: (702) 543-5239

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30022)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1407830722?
NPI 1407830722 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Alpharetta?
Unknown Individual currently maps to Alpharetta, Georgia in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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