Unknown Individual – Rehabilitation Psychologist, NPI 1053576108

Unknown Individual is a healthcare provider. based in Oelwein, Iowa. specializing in Rehabilitation Psychologist. They hold a License No. 08003 (IA). The NPI Number for Unknown Individual is 1053576108

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053576108
Phone
(319) 238-3132
Address
1621 S FREDERICK AVE
Deactivation Date
22 July 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1621, South Frederick Avenue, Lakeview Mobile Home Court, Oelwein, Fayette County, Iowa, 50662, United States

    OELWEIN, IA 506623107

    Phone: (319) 238-3132

    Fax: (319) 283-2022

    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 50662)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1053576108 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Rehabilitation Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Oelwein, Iowa as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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