Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1285764274

Unknown Individual is a healthcare provider. based in North royalton, Ohio. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. 35.080308 (OH). The NPI Number for Unknown Individual is 1285764274

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285764274
Phone
(330) 588-2636
Address
9352 CHESAPEAKE DR
Deactivation Date
8 May 2021
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

Provider Addresses for Unknown Individual

  • 9352 CHESAPEAKE DR

    NORTH ROYALTON, OH 441331775

    Phone: (330) 588-2636

    Fax: (330) 452-7509

    Type: Mailing

  • 919 2ND ST NE

    CANTON, OH 447041132

    Phone: (330) 588-2636

    Fax: (330) 452-7509

    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.

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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 ·

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 44133)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1285764274?
NPI 1285764274 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on North Royalton, Ohio.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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