Unknown Individual – Psychologist, NPI 1801990288

Unknown Individual is a healthcare provider. based in Kokomo, Indiana. specializing in Psychologist. They hold a License No. 20090218A (IN). The NPI Number for Unknown Individual is 1801990288

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801990288
Phone
(765) 455-5406
Address
2330 S. DIXON ROAD
Deactivation Date
4 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2330, South Dixon Road, Greentree, Kokomo, Howard County, Indiana, 46902, United States

    AHN SPECIALTY CENTER

    KOKOMO, IN 46902

    Phone: (765) 455-5406

    Fax: (765) 865-3935

    Type: Location

  • 1508, West Taylor Street, Kokomo, Howard County, Indiana, 46901, United States

    KOKOMO, IN 46901

    Phone: (765) 456-3117

    Type: Mailing

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.

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 46902)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1801990288.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Kokomo, Indiana?
For routing, start with Kokomo, Indiana for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.