Unknown Individual – Clinical Psychologist, NPI 1669832002

Unknown Individual is a healthcare provider. based in Grosse pointe park, Michigan. specializing in Clinical Psychologist. They hold a License No. 6301012223 (MI). The NPI Number for Unknown Individual is 1669832002

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669832002
Phone
(248) 318-9863
Address
983 LAKEPOINTE ST
Deactivation Date
13 May 2021
Data current as of
20 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

  • 983, Lakepointe Street, Grosse Pointe Park, Wayne County, Michigan, 48230, United States

    GROSSE POINTE PARK, MI 482301709

    Phone: (248) 318-9863

    Fax: (313) 640-1383

    Type: Mailing

  • 383, Fisher Road, Beverly Road Historic District, Grosse Pointe, Wayne County, Michigan, 48230, United States

    GROSSE POINTE, MI 482301674

    Phone: (248) 318-9863

    Fax: (313) 640-1383

    Type: Location

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.

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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 48230)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1669832002?
NPI 1669832002 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Grosse Pointe Park, Michigan 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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