Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1063725166

Unknown Individual is a healthcare provider. based in Hastings, Minnesota. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. 2698 (MN). The NPI Number for Unknown Individual is 1063725166

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063725166
Phone
(651) 437-1511
Address
1125 RAMSEY ST
Deactivation Date
17 January 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1125 RAMSEY ST

    HASTINGS, MN 550332811

    Phone: (651) 437-1511

    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.

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Medicare Enrollment & Revalidation

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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 55033)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1063725166 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Child & Adolescent Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Hastings, Minnesota because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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