Unknown Individual – Clinical Psychologist, NPI 1184718397

Unknown Individual is a healthcare provider. based in Muncie, Indiana. specializing in Clinical Psychologist. They hold a License No. 20090212A (IN). The NPI Number for Unknown Individual is 1184718397

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184718397
Phone
(765) 282-6227
Address
3621 N EVERBROOK LN STE 2
Deactivation Date
28 February 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

Provider Addresses for Unknown Individual

  • 3621 N EVERBROOK LN STE 2

    MUNCIE, IN 473045336

    Phone: (765) 282-6227

    Fax: (765) 282-6305

    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.

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 47304)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1184718397 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Indiana?
You will see Muncie, Indiana on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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