Unknown Individual – Psychologist, NPI 1548299167

Unknown Individual is a healthcare provider. based in Prior lake, Minnesota. specializing in Psychologist. They hold a License No. LP0833 (MN). The NPI Number for Unknown Individual is 1548299167

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548299167
Phone
(952) 440-6792
Address
15815 FRANKLIN TRAIL S.E.
Deactivation Date
27 August 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

Provider Addresses for Unknown Individual

  • 15815 FRANKLIN TRAIL S.E.

    SUITE 308

    PRIOR LAKE, MN 55372

    Phone: (952) 440-6792

    Fax: (952) 440-6793

    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.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 55372)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1548299167; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Prior Lake, Minnesota for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1548299167. Always confirm identity and privileges with the practice and licensing boards.

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