Unknown Individual – Clinical Psychologist, NPI 1619056090

Unknown Individual is a healthcare provider. based in Niles, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1619056090

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619056090
Phone
(847) 824-6313
Address
241 GOLF MILL CTR
Deactivation Date
6 March 2025
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

Loading map...

Provider Addresses for Unknown Individual

  • Golf Mill Center, Golf Mill Shopping Center, Niles, Cook County, Illinois, 60714, United States

    SUITE 421

    NILES, IL 607141224

    Phone: (847) 824-6313

    Fax: (847) 674-7882

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 60714)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1619056090 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Niles, Illinois.
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.

Similar Providers

3330 DUNDEE RD STE N4A
NPI: 1801852488

ANNE P. MONTAGUE (PHD)

Clinical Psychologist
Golf Mill Center, Golf Mill Shopping Center, Niles, Cook County, Illinois, 60714, United States
NPI: 1730147042

MS. DEBRA JOAN HALEY (PHD)

Clinical Psychologist
Jewel-Osco, 7900, North Milwaukee Avenue, Niles, Cook County, Illinois, 60714, United States
NPI: 1306948690

DR. RINA K NORRIS (PSY.D.)

Clinical Psychologist
6935, West Touhy Avenue, Niles, Niles Township, Cook County, Illinois, 60714, United States
NPI: 1053482869

Unknown Individual

Clinical Psychologist
7535 W MAIN ST
NPI: 1861525859

DR. JOSEPH DANIELS (ED.D)

Clinical Psychologist
7124 W TOUHY AVE
NPI: 1144341884

DR. DANIEL G MORJAL (PSY.D, MSCP)

Prescribing (Medical) Psychologist
8627 N OSCEOLA AVE
NPI: 1689897639

DR. CHARLES E BEHRENS (PSY.D.)

Clinical Psychologist
7636, North Neva Avenue, Niles, Niles Township, Cook County, Illinois, 60714, United States
NPI: 1740492628

Montague Murchie and Associates

Clinical Psychologist
Golf Mill Center, Golf Mill Shopping Center, Niles, Cook County, Illinois, 60714, United States
NPI: 1962614230