Unknown Individual – Psychiatry Physician, NPI 1649307331

Unknown Individual is a healthcare provider. based in Davenport, Iowa. specializing in Psychiatry Physician. They hold a License No. 16041 (IA). The NPI Number for Unknown Individual is 1649307331

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649307331
Phone
(563) 383-1900
Address
1441 W CENTRAL PARK AVE
Deactivation Date
28 January 2022
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

  • 1441 W CENTRAL PARK AVE

    DAVENPORT, IA 528041707

    Phone: (563) 383-1900

    Fax: (563) 884-4638

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 52804)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1649307331 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Davenport, Iowa as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. GHADA HAMDAN-ALLEN (MD)

Psychiatry Physician
4455 E 56TH ST
NPI: 1912991340

JEFFREY GRANT WEYENETH (MD)

Psychiatry Physician
1441, West Central Park Avenue, Davenport, Scott County, Iowa, 52804, United States
NPI: 1912991944

DR. JOHN F III STECKER (MD)

Psychiatry Physician
6412 LAMINE DR
NPI: 1821082850

WILLIAM M NISSEN (MD)

Psychiatry Physician
1441, West Central Park Avenue, Davenport, Scott County, Iowa, 52804, United States
NPI: 1225097843

JOHN C CIACCIO (MD)

Psychiatry Physician
4600 3RD ST
NPI: 1932168457

GARY C OLSON (MD)

Psychiatry Physician
1441, West Central Park Avenue, Davenport, Scott County, Iowa, 52804, United States
NPI: 1699734129
4622, Progress Drive, Bettendorf, Pleasant Valley Township, Davenport, Scott County, Iowa, 52807, United States
NPI: 1174576169

RICKEY L. WILSON (M.D.)

Psychiatry Physician
MercyOne Genesis West Medical Center, 1401, West Central Park Avenue, Davenport, Scott County, Iowa, 52804, United States
NPI: 1588694012

DAVID FREDERICK WIDITZ (MD)

Child & Adolescent Psychiatry Physician
373 SCOTT CT STE A
NPI: 1205015906