Unknown Individual – Psychiatry Physician, NPI 1639185986

Unknown Individual is a healthcare provider. based in Wayne, Michigan. specializing in Psychiatry Physician. They hold a License No. 4301041137 (MI). The NPI Number for Unknown Individual is 1639185986

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639185986
Phone
(734) 728-3446
Address
35216 E MICHIGAN AVE
Deactivation Date
30 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • East Michigan Avenue, Wayne, Wayne County, Michigan, 48184, United States

    WAYNE, MI 481843698

    Phone: (734) 728-3446

    Fax: (734) 728-4893

    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 48184)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1639185986 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Wayne, Michigan?
If you are local to Wayne, Michigan, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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