Unknown Individual – Clinical Psychologist, NPI 1649355843

Unknown Individual is a healthcare provider. based in Willmar, Minnesota. specializing in Clinical Psychologist. They hold a License No. LP2125 (MN). The NPI Number for Unknown Individual is 1649355843

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649355843
Phone
(320) 214-9692
Address
513 5TH ST SW
Deactivation Date
17 July 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

  • 513, 5th Street Southwest, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562013216

    Phone: (320) 214-9692

    Fax: (320) 214-9924

    Type: Location

  • 709, 26th Avenue Northeast, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562012168

    Phone: (320) 282-8697

    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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56201)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1649355843?
NPI 1649355843 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Willmar?
Unknown Individual currently maps to Willmar, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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