Unknown Individual – Psychiatry Physician, NPI 1548494818

Unknown Individual is a healthcare provider. based in Edwardsville, Illinois. specializing in Psychiatry Physician. They hold a License No. 060006403 (IL). The NPI Number for Unknown Individual is 1548494818

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548494818
Phone
(618) 656-2000
Address
PO BOX 790
Deactivation Date
10 September 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 790

    EDWARDSVILLE, IL 620250790

    Phone: (618) 656-2000

    Fax: (618) 656-1169

    Type: Mailing

  • Fayette County Hospital, 650, West Taylor Street, Vandalia, Fayette County, Illinois, 62471, United States

    VANDALIA, IL 624711227

    Phone: (618) 656-2000

    Fax: (618) 656-1169

    Type: Location

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 62025)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1548494818 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Edwardsville, Illinois for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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