Unknown Individual – Psychologist, NPI 1376614586

Unknown Individual is a healthcare provider. based in Saint cloud, Minnesota. specializing in Psychologist. They hold a License No. LP 1840 (MN). The NPI Number for Unknown Individual is 1376614586

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376614586
Phone
(320) 253-3540
Address
2025 STEARNS WAY
Deactivation Date
15 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • St. Cloud, Stearns County, Minnesota, United States

    SUITE 111

    SAINT CLOUD, MN 563034491

    Phone: (320) 253-3540

    Type: Location

  • 1243, Willow Pond Drive, Waite Park, Stearns County, Minnesota, 56387, United States

    WAITE PARK, MN 563872038

    Phone: (320) 230-7357

    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.

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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 56303)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1376614586 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
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.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Saint Cloud, Minnesota.
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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