Unknown Individual – Psychiatry Physician, NPI 1629024419

Unknown Individual is a healthcare provider. based in Anoka, Minnesota. specializing in Psychiatry Physician. They hold a License No. 45613 (MN). The NPI Number for Unknown Individual is 1629024419

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629024419
Phone
(763) 712-4000
Address
3301 7TH AVE
Deactivation Date
4 March 2021
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

  • Anoka-Metro Regional Treatment Center, 3301, 7th Avenue, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553034516

    Phone: (763) 712-4000

    Fax: (763) 712-4013

    Type: Location

  • 1361, Westwood Road Northwest, Hutchinson, McLeod County, Minnesota, 55350, United States

    HUTCHINSON, MN 553509800

    Phone: (952) 738-2639

    Fax: (320) 455-0023

    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

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

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1629024419.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Anoka, Minnesota may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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