Unknown Individual – Clinical Psychologist, NPI 1972604999

Unknown Individual is a healthcare provider. based in Henderson, Nevada. specializing in Clinical Psychologist. They hold a License No. 210 (NV). The NPI Number for Unknown Individual is 1972604999

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972604999
Phone
(702) 435-1565
Address
2055 PINION SPRINGS DR
Deactivation Date
28 November 2024
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

  • 2055, Pinion Springs Drive, Green Valley, Henderson, Clark County, Nevada, 89074, United States

    HENDERSON, NV 890744116

    Phone: (702) 435-1565

    Fax: (702) 895-0195

    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 89074)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1972604999 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Henderson, Nevada for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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