Unknown Individual – Geriatric Psychiatry Physician, NPI 1528085131

Unknown Individual is a healthcare provider. based in St louis, Missouri. specializing in Geriatric Psychiatry Physician. They hold a License No. 30551 (MO). The NPI Number for Unknown Individual is 1528085131

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1528085131
Phone
(314) 977-4440
Address
3691 RUTGER AVE
Deactivation Date
9 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3691 RUTGER AVE

    PROVIDER ENROLLMENT

    ST LOUIS, MO 63110

    Phone: (314) 977-4440

    Type: Mailing

  • Place Saint-Louis, Little France, Centre, Strasbourg, Bas-Rhin, European Collectivity of Alsace, Grand Est, Metropolitan France, 67000, France

    ST LOUIS, MO 63104

    Phone: (314) 577-8720

    Fax: (314) 268-5494

    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 63110)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1528085131.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Geriatric Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use St Louis, Missouri as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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