Unknown Individual – Clinical Psychologist, NPI 1275683245

Clinical Psychologist

Unknown Individual is a healthcare provider. based in Kankakee, Illinois. specializing in Clinical Psychologist. They hold a License No. 071004043 (IL). The NPI Number for Unknown Individual is 1275683245

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1275683245

Phone

(815) 933-2240

Address

1905 W. COURT ST ENTRANCE A

Deactivation Date

27 September 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

Provider Addresses for Unknown Individual

1905 W. COURT ST ENTRANCE A
KANKAKEE, IL 609013163
Phone: (815) 933-2240
Fax: (815) 935-7261
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 60901)

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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 1275683245.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Can patients visit Unknown Individual in Kankakee, Illinois?

For routing, start with Kankakee, Illinois for Unknown Individual, then verify phone and hours locally.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.