Unknown Individual – Clinical Psychologist, NPI 1235346636

Unknown Individual is a healthcare provider. based in Warren, Ohio. specializing in Clinical Psychologist. They hold a License No. 4192 (OH). The NPI Number for Unknown Individual is 1235346636

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235346636
Phone
(740) 602-2610
Address
8001 CHERRY HILL DR NE
Deactivation Date
22 January 2026
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

  • 8001 CHERRY HILL DR NE

    WARREN, OH 444841559

    Phone: (740) 602-2610

    Type: Mailing

  • 1322, Boone Street Southeast, Lacey, Thurston County, Washington, 98503, United States

    LACEY, WA 985032261

    Phone: (360) 820-2862

    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.

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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 44484)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1235346636 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Warren, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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