Unknown Individual – Psychiatry Physician, NPI 1790782662

Unknown Individual is a healthcare provider. based in Jeffersonville, Indiana. specializing in Psychiatry Physician. They hold a License No. 01059013A (IN). The NPI Number for Unknown Individual is 1790782662

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790782662
Phone
(812) 284-8000
Address
2700 VISSING PARK RD
Deactivation Date
29 May 2025
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

  • Wellstone Regional Hospital, 2700, Vissing Park Road, Jeffersonville, Clark County, Indiana, 47130, United States

    JEFFERSONVILLE, IN 471305989

    Phone: (812) 284-8000

    Fax: (812) 258-1094

    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 47130)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1790782662?
NPI 1790782662 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Jeffersonville, Indiana as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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