Unknown Individual – Forensic Psychiatry Physician, NPI 1376644682

Unknown Individual is a healthcare provider. based in Saint peter, Minnesota. specializing in Forensic Psychiatry Physician. They hold a License No. 48373 (MN). The NPI Number for Unknown Individual is 1376644682

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376644682
Phone
(507) 931-7101
Address
100 FREEMAN DR
Deactivation Date
20 November 2025
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

  • Saint Peter Regional Treatment Center, 100, Freeman Drive, Mar Wey Mobile Home Park, stp, Nicollet County, Minnesota, 56082, United States

    SAINT PETER, MN 560823504

    Phone: (507) 931-7101

    Fax: (507) 931-7720

    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

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 56082)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1376644682.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Forensic Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Saint Peter, Minnesota?
For routing, start with Saint Peter, Minnesota for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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