Unknown Individual – Psychiatry Physician, NPI 1790858710

Unknown Individual is a healthcare provider. based in St peter, Minnesota. specializing in Psychiatry Physician. They hold a License No. 25102 (MN). The NPI Number for Unknown Individual is 1790858710

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790858710
Phone
(507) 931-3325
Address
7021 DAMAR ESTATES
Deactivation Date
12 July 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

Loading map...

Provider Addresses for Unknown Individual

  • 7021 DAMAR ESTATES

    ST PETER, MN 56082

    Phone: (507) 931-3325

    Type: Mailing

  • 203, West Clark Street, Albert Lea, Freeborn County, Minnesota, 56007, United States

    ALBERT LEA, MN 56007

    Phone: (507) 377-5493

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 56082)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1790858710 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Minnesota?
You will see St Peter, Minnesota on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

BRIAN D PROCTOR (MD)

Psychiatry Physician
Mayo Clinic Health System – Franciscan Healthcare, 700, West Avenue South, La Crosse, La Crosse County, Wisconsin, 54601, United States
NPI: 1932101128

DR. GARY J. GRONSTEDT (D.O.)

Psychiatry Physician
111 HUNDERTMARK RD
NPI: 1780688531

KATHLEEN A TROTT (MD)

Psychiatry Physician
8170 33RD AVE S # MS 21110Q
NPI: 1295739068

STEPHEN M DELISI (MD)

Psychiatry Physician
700 RAYMOND AVE STE 130
NPI: 1528063765

MARY C FIELDS (MD)

Psychiatry Physician
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
NPI: 1861497745

DR. MICHAEL R BASSO (PH.D.)

Clinical Psychologist
Department of Psychology/University of Tulsa
NPI: 1497751291

GABRIELA BALF (MD, MPH)

Psychiatry Physician
Birchwood Drive, Mount Carmel Center, Hamden, New Haven County, Connecticut, 06518, United States
NPI: 1124024724