Unknown Individual – Clinical Psychologist, NPI 1629152145

Unknown Individual is a healthcare provider. based in Elmhurst, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1629152145

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629152145
Phone
(847) 212-5041
Address
257 N WEST AVE
Deactivation Date
21 January 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 257, Elmhurst, Tazewell County, Virginia, 24630, United States

    ELMHURST, IL 601262529

    Phone: (847) 212-5041

    Fax: (847) 794-1190

    Type: Location

  • 1535, Brittany Lane, Charlemagne, Hoffman Estates, Palatine Township, Cook County, Illinois, 60192, United States

    HOFFMAN ESTATES, IL 601951665

    Phone: (847) 212-5041

    Fax: (847) 794-1190

    Type: Mailing

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 60126)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1629152145 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.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Elmhurst, Illinois for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1629152145. Always confirm identity and privileges with the practice and licensing boards.

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