Unknown Individual – Cognitive & Behavioral Psychologist, NPI 1083681696

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Cognitive & Behavioral Psychologist. They hold a License No. 128152 (KY). The NPI Number for Unknown Individual is 1083681696

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083681696
Phone
(502) 588-9490
Address
PO BOX 776879
Deactivation Date
25 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 776879

    CHICAGO, IL 606776879

    Phone: (502) 588-9490

    Type: Mailing

  • 411 E CHESTNUT ST

    LOUISVILLE, KY 402021713

    Phone: (502) 588-0850

    Fax: (502) 588-0861

    Type: Location

  • Kosair Charities Pediatric Center, 571, South Floyd Street, Louisville, Jefferson County, Kentucky, 40202, United States

    #100

    LOUISVILLE, KY 40202

    Phone: (502) 852-7897

    Fax: (502) 852-2911

    Type: Mailing

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)

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

Insurance plans in this area (ZIP 60677)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1083681696 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Cognitive & Behavioral Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Chicago, Illinois may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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