Unknown Individual – Cognitive & Behavioral Psychologist, NPI 1740376268

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Cognitive & Behavioral Psychologist. They hold a License No. LP 3157 (MN). The NPI Number for Unknown Individual is 1740376268

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740376268
Phone
(612) 481-1140
Address
2124 DUPONT AVENUE SOUTH #104
Deactivation Date
24 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Dupont Avenue South, Lowry Hill East, Calhoun Isles, Minneapolis, Hennepin County, Minnesota, 55408, United States

    MINNEAPOLIS, MN 55403

    Phone: (612) 481-1140

    Fax: (612) 879-0059

    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 55403)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1740376268 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Cognitive & Behavioral Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Minneapolis, Minnesota in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.