Unknown Individual – Addiction (Substance Use Disorder) Psychologist, NPI 1235240284

Unknown Individual is a healthcare provider. based in Anoka, Minnesota. specializing in Addiction (Substance Use Disorder) Psychologist. They hold a License No. 300771 (MN). The NPI Number for Unknown Individual is 1235240284

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235240284
Phone
(763) 323-3394
Address
203 WASHINGTON STREET
Deactivation Date
12 June 2024
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

  • 203, Washington Street, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 55303

    Phone: (763) 323-3394

    Type: Mailing

  • 7590, Lyric Lane Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    UNITY HOSPTIAL

    FRIDLEY, MN 55432

    Phone: (763) 236-4375

    Fax: (762) 236-4370

    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 55303)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1235240284 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Addiction (Substance Use Disorder) Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Anoka, Minnesota as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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