Unknown Individual – Clinical Psychologist, NPI 1780759563

Unknown Individual is a healthcare provider. based in Lakeville, Minnesota. specializing in Clinical Psychologist. They hold a License No. LP0128 (MN). The NPI Number for Unknown Individual is 1780759563

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780759563
Phone
(952) 469-4124
Address
20475 HUGHES AVE W
Deactivation Date
12 March 2026
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

  • 20475, Hughes Avenue West, Overland Addition, Lakeville, Dakota County, Minnesota, 55044, United States

    LAKEVILLE, MN 550448635

    Phone: (952) 469-4124

    Type: Mailing

  • East 18th Street, Hastings, Dakota County, Minnesota, 55033, United States

    HASTINGS, MN 55033

    Phone: (651) 438-8550

    Fax: (651) 437-2912

    Type: Location

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 55044)

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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 1780759563.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Lakeville, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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