Unknown Individual – Clinical Psychologist, NPI 1215066535

Unknown Individual is a healthcare provider. based in Downers grove, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1215066535

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215066535
Phone
(630) 968-9662
Address
942 MAPLE AVE
Deactivation Date
21 January 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 942 MAPLE AVE

    DOWNERS GROVE, IL 605154929

    Phone: (630) 968-9662

    Fax: (630) 985-7739

    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.

This can happen when there are no reportable CMS Open Payments records.

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 60515)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1215066535.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Downers Grove?
Unknown Individual currently maps to Downers Grove, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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