Unknown Individual – Clinical Psychologist, NPI 1881601623

Unknown Individual is a healthcare provider. based in Woodstock, Illinois. specializing in Clinical Psychologist. They hold a License No. 071005699 (IL). The NPI Number for Unknown Individual is 1881601623

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881601623
Phone
(815) 243-6789
Address
1400 N SEMINARY AVE
Deactivation Date
24 January 2024
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

  • North Seminary Avenue, Woodstock, McHenry County, Illinois, 60098, United States

    UNIT M

    WOODSTOCK, IL 600982980

    Phone: (815) 243-6789

    Mailing address matches the actual address.

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.

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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 60098)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1881601623 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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Woodstock, Illinois as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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