Unknown Individual – Psychiatry Physician, NPI 1780790071

Unknown Individual is a healthcare provider. based in Garden city, Michigan. specializing in Psychiatry Physician. They hold a License No. 4301044183 (MI). The NPI Number for Unknown Individual is 1780790071

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780790071
Phone
(734) 291-0005
Address
1061 INKSTER RD
Deactivation Date
5 March 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

Provider Addresses for Unknown Individual

  • 1061 INKSTER RD

    GARDEN CITY, MI 481353168

    Phone: (734) 291-0005

    Fax: (313) 281-2235

    Type: Location

  • 25350 Eureka Rd

    Taylor, MI 481805050

    Phone: (342) 910-0077

    Fax: (313) 281-2235

    Type: Location

  • 3120 Carpenter St Ste 211

    Hamtramck, MI 482122783

    Phone: (313) 307-0088

    Fax: (313) 281-2235

    Type: Location

  • 8594 N Canton Center Rd

    Canton, MI 481871310

    Phone: (313) 307-0088

    Fax: (313) 281-2235

    Type: Location

  • 19445 W Warren Ave

    Detroit, MI 482283361

    Phone: (313) 307-0088

    Type: Location

  • 19445 W WARREN AVE

    DETROIT, MI 482283361

    Phone: (313) 307-0088

    Fax: (313) 281-2235

    Type: Mailing

  • 39900, Sunbury Road, Meadowbrook Estates, Grand View Acres, Northville Charter Township, Wayne County, Michigan, 48167, United States

    NORTHVILLE, MI 481679503

    Phone: (248) 982-7991

    Type: Mailing

  • 24331, Van Born Road, Taylor, Wayne County, Michigan, 48125, United States

    TAYLOR, MI 481801225

    Phone: (313) 292-6000

    Fax: (313) 291-0207

    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 48135)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1780790071.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Garden City, Michigan because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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