Unknown Individual – Clinical Psychologist, NPI 1457368904

Unknown Individual is a healthcare provider. based in Elmhurst, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1457368904

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457368904
Phone
(630) 834-4538
Address
579 W NORTH AVE
Deactivation Date
1 February 2023
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

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Provider Addresses for Unknown Individual

  • 579, West North Avenue, Elmhurst, DuPage County, Illinois, 60126, United States

    SUITE 303

    ELMHURST, IL 601262136

    Phone: (630) 834-4538

    Fax: (630) 834-4538

    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 60126)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1457368904 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
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 associated with Elmhurst?
Public fields place Unknown Individual around Elmhurst, Illinois. Always confirm the exact site before visiting.
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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