Unknown Individual – Psychologist, NPI 1821036989

Unknown Individual is a healthcare provider. based in Troy, Michigan. specializing in Psychologist. They hold a License No. 6301011635 (MI). The NPI Number for Unknown Individual is 1821036989

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821036989
Phone
(313) 993-3964
Address
1560 E MAPLE RD
Deactivation Date
7 December 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

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Provider Addresses for Unknown Individual

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400 - CREDENTIALING

    TROY, MI 480831189

    Phone: (313) 993-3964

    Fax: (313) 993-1372

    Type: Mailing

  • Chrysler Service Drive, Eastern Market, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012167

    Phone: (313) 993-3964

    Fax: (313) 993-1372

    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 48083)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1821036989?
NPI 1821036989 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
Where in Michigan is Unknown Individual registered?
Use Troy, Michigan as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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