Unknown Individual – Psychologist, NPI 1891772638

Unknown Individual is a healthcare provider. based in Eden prairie, Minnesota. specializing in Psychologist. They hold a License No. LP1580 (MN). The NPI Number for Unknown Individual is 1891772638

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891772638
Phone
(952) 993-7400
Address
8455 FLYING CLOUD DR
Deactivation Date
28 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8455, Flying Cloud Drive, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    STE 200

    EDEN PRAIRIE, MN 553443974

    Phone: (952) 993-7400

    Type: Location

  • Wayzata Blvd, South Wayzata Boulevard, Minneapolis, Hennepin County, Minnesota, 55416, United States

    STE 315

    MINNEAPOLIS, MN 554261728

    Phone:

    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.

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.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Insurance plans in this area (ZIP 55344)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1891772638 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Eden Prairie?
Unknown Individual currently maps to Eden Prairie, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.