Unknown Individual – Psychiatry Physician, NPI 1578512406

Unknown Individual is a healthcare provider. based in Belleville, Illinois. specializing in Psychiatry Physician. They hold a License No. 33100 (MO). The NPI Number for Unknown Individual is 1578512406

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578512406
Phone
(618) 779-5508
Address
531 PEBBLE BROOK LN
Deactivation Date
23 October 2025
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

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Provider Addresses for Unknown Individual

  • 531 PEBBLE BROOK LN

    HMAI

    BELLEVILLE, IL 622217609

    Phone: (618) 779-5508

    Fax: (618) 206-8588

    Type: Mailing

  • 6150, Oakland Avenue, Hi-Pointe, City of Saint Louis, Missouri, 63139, United States

    SAINT LOUIS, MO 631393215

    Phone: (314) 768-3090

    Fax: (314) 768-3031

    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.

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Medicare Enrollment & Revalidation

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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 62221)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1578512406?
NPI 1578512406 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Belleville, Illinois as the reference point for Unknown Individual, then confirm.
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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