Unknown Individual – Psychologist, NPI 1629093612

Unknown Individual is a healthcare provider. based in Northville, Michigan. specializing in Psychologist. They hold a License No. 6301006573 (MI). The NPI Number for Unknown Individual is 1629093612

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629093612
Phone
(248) 347-3470
Address
670 GRISWOLD ST
Deactivation Date
22 January 2026
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

  • 670, Griswold Street, Northville, Wayne County, Michigan, 48167, United States

    SUITE 3

    NORTHVILLE, MI 481672675

    Phone: (248) 347-3470

    Fax: (248) 347-2242

    Type: Location

  • 15508, Brookfield Street, Brightmoor Home Acres, Livonia, Wayne County, Michigan, 48154, United States

    LIVONIA, MI 481543006

    Phone: (313) 515-0806

    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 48167)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1629093612; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Northville, Michigan for Unknown Individual; download NPPES for the complete set.
What if Northville, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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