Unknown Individual – Psychologist, NPI 1730397688

Unknown Individual is a healthcare provider. based in Faribault, Minnesota. specializing in Psychologist. They hold a License No. LP0769 (MN). The NPI Number for Unknown Individual is 1730397688

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730397688
Phone
(507) 334-2892
Address
625 3RD AVE NW
Deactivation Date
27 September 2023
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

  • 625, 3rd Avenue Northwest, Faribault, Rice County, Minnesota, 55021, United States

    FARIBAULT, MN 550214275

    Phone: (507) 334-2892

    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 55021)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1730397688 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Faribault, Minnesota for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1730397688. Always confirm identity and privileges with the practice and licensing boards.

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