Unknown Individual – Psychiatry Physician, NPI 1902984289

Unknown Individual is a healthcare provider. based in Anoka, Minnesota. specializing in Psychiatry Physician. They hold a License No. 29465 (MN). The NPI Number for Unknown Individual is 1902984289

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902984289
Phone
(763) 712-4000
Address
3301 7TH AVE
Deactivation Date
10 July 2025
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

  • Anoka-Metro Regional Treatment Center, 3301, 7th Avenue, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553034516

    Phone: (763) 712-4000

    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.

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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 55303)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1902984289 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Anoka, Minnesota in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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