Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1124042940

Unknown Individual is a healthcare provider. based in New albany, Indiana. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. 20041846A (KY). The NPI Number for Unknown Individual is 1124042940

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124042940
Phone
(812) 949-1066
Address
1015 E SPRING ST
Deactivation Date
11 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1015, East Spring Street, New Albany, Floyd County, Indiana, 47150, United States

    NEW ALBANY, IN 471502942

    Phone: (812) 949-1066

    Fax: (812) 949-0791

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47150)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1124042940.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Clinical Child & Adolescent Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display New Albany, Indiana because that is what the record indicates for Unknown Individual.
What if New Albany, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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