Unknown Individual – Psychiatry Physician, NPI 1821383100

Unknown Individual is a healthcare provider. based in Jerseyville, Illinois. specializing in Psychiatry Physician. The NPI Number for Unknown Individual is 1821383100

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821383100
Phone
(618) 498-7518
Address
390 MAPLE SUMMIT RD
Deactivation Date
14 July 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 390 MAPLE SUMMIT RD

    JERSEYVILLE, IL 620522000

    Phone: (618) 498-7518

    Fax: (618) 498-3052

    Type: Mailing

  • 1170 WALL ST

    SUITE 102

    JACKSONVILLE, IL 626504053

    Phone: (618) 498-7518

    Fax: (618) 498-3052

    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

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.

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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 62052)

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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 1821383100 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Jerseyville, Illinois?
For routing, start with Jerseyville, Illinois for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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