Unknown Individual – Clinical Psychologist, NPI 1093705741

Unknown Individual is a healthcare provider. based in Wooster, Ohio. specializing in Clinical Psychologist. They hold a License No. 1494 (OH). The NPI Number for Unknown Individual is 1093705741

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093705741
Phone
(330) 345-0955
Address
210 E MILLTOWN RD
Deactivation Date
24 July 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

  • East Milltown Road, Wooster, Wayne County, Ohio, 44691, United States

    SUITE B

    WOOSTER, OH 446911246

    Phone: (330) 345-0955

    Fax: (330) 345-3420

    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 44691)

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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 1093705741 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Wooster, Ohio?
For routing, start with Wooster, Ohio for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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