Unknown Individual – Psychiatry Physician, NPI 1487750352

Unknown Individual is a healthcare provider. based in Carbondale, Illinois. specializing in Psychiatry Physician. The NPI Number for Unknown Individual is 1487750352

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487750352
Phone
(618) 549-8905
Address
201 E MAIN ST
Deactivation Date
26 March 2026
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

  • Consume, 201, East Main Street, Carbondale, Jackson County, Illinois, 62901, United States

    SUITE 2G

    CARBONDALE, IL 62901

    Phone: (618) 549-8905

    Fax: (618) 549-8906

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 62901)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1487750352 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Carbondale, Illinois?
If you are local to Carbondale, Illinois, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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