Unknown Individual – Community Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1073503694

Unknown Individual is a healthcare provider. based in Massillon, Ohio. specializing in Community Psychiatric/Mental Health Clinical Nurse Specialist. They hold a License No. E0000982-SUPV (OH). The NPI Number for Unknown Individual is 1073503694

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073503694
Phone
(330) 324-4242
Address
1204 STUART ST NW
Deactivation Date
16 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1204 STUART ST NW

    MASSILLON, OH 446462210

    Phone: (330) 324-4242

    Fax: (330) 409-1211

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44646)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1073503694.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Community Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Massillon, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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