Unknown Individual – Psychiatry Physician, NPI 1780698100

Unknown Individual is a healthcare provider. based in Farmington, Missouri. specializing in Psychiatry Physician. They hold a License No. MD100923 (MO). The NPI Number for Unknown Individual is 1780698100

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780698100
Phone
(573) 218-6708
Address
1010 W COLUMBIA ST
Deactivation Date
22 July 2022
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

  • 1010, West Columbia Street, Farmington, St. Francois County, Missouri, 63640, United States

    SOUTHEAST MISSOURI MENTAL HEALTH CENTER

    FARMINGTON, MO 636402902

    Phone: (573) 218-6708

    Fax: (573) 218-6703

    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.

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 63640)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1780698100 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Farmington?
Unknown Individual currently maps to Farmington, Missouri in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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