Unknown Individual – Psychiatry Physician, NPI 1235108473

Unknown Individual is a healthcare provider. based in Henderson, Nevada. specializing in Psychiatry Physician. They hold a License No. MD6614 (NV). The NPI Number for Unknown Individual is 1235108473

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235108473
Phone
(702) 685-0674
Address
PO BOX 91075
Deactivation Date
2 January 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

  • PO BOX 91075

    HENDERSON, NV 890091075

    Phone: (702) 685-0674

    Fax: (702) 566-4575

    Type: Mailing

  • Montevista Professional Building, 6000, West Rochelle Avenue, Flamingo Heights, Spring Valley, Clark County, Nevada, 89103, United States

    SUITE 600

    LAS VEGAS, NV 891033376

    Phone: (702) 685-0674

    Fax: (702) 566-4575

    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.

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 89009)

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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 1235108473.
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 associated with Henderson?
Public fields place Unknown Individual around Henderson, Nevada. Always confirm the exact site before visiting.
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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