Unknown Individual – Clinical Psychologist, NPI 1962576439

Unknown Individual is a healthcare provider. based in Evanston, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1962576439

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962576439
Phone
(847) 864-6312
Address
3609 CENTRAL ST
Deactivation Date
20 March 2024
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

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Provider Addresses for Unknown Individual

  • 3609, Central Street, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602014917

    Phone: (847) 864-6312

    Fax: (847) 864-3538

    Type: Mailing

  • 550, Sunset Ridge Road, Northfield, Northfield Township, Cook County, Illinois, 60093, United States

    NORTHFIELD, IL 600931027

    Phone: (847) 446-0050

    Fax: (847) 864-3538

    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 60201)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1962576439.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Evanston, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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