Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1013978154

Unknown Individual is a healthcare provider. based in Beachwood, Ohio. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. 35027915 (OH). The NPI Number for Unknown Individual is 1013978154

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013978154
Phone
(216) 932-3970
Address
3733 PARK EAST DR
Deactivation Date
9 June 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

  • 3733, Park East Drive, Beachwood, Cuyahoga County, Ohio, 44122, United States

    SUITE 102

    BEACHWOOD, OH 441224338

    Phone: (216) 932-3970

    Fax: (216) 932-3970

    Type: Location

  • 2517, Guilford Road, Fairfax Triangle, Cleveland Heights, Cuyahoga County, Ohio, 44118, United States

    CLEVELAND HEIGHTS, OH 441184105

    Phone: (216) 932-3970

    Fax: (216) 932-3970

    Type: Mailing

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 44122)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1013978154 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Child & Adolescent Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Beachwood, Ohio?
If you are local to Beachwood, Ohio, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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