Unknown Individual – Clinical Psychologist, NPI 1033200233

Unknown Individual is a healthcare provider. based in Saint cloud, Minnesota. specializing in Clinical Psychologist. They hold a License No. 014785-1 (NY). The NPI Number for Unknown Individual is 1033200233

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033200233
Phone
(320) 255-6480
Address
4801 VETERANS DR
Deactivation Date
6 December 2021
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

  • St. Cloud VA Health Care System, 4801, Veterans Drive, St. Cloud, Stearns County, Minnesota, 56303, United States

    BUILDING 28 ROOM 153

    SAINT CLOUD, MN 563032015

    Phone: (320) 255-6480

    Fax: (320) 255-6472

    Type: Location

  • 1905, Camellia Court, Saint Cloud, Stearns County, Minnesota, 56301, United States

    SAINT CLOUD, MN 563019458

    Phone: (320) 229-0131

    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.

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.

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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 56303)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1033200233 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Saint Cloud, Minnesota as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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