Unknown Individual – Psychiatry Physician, NPI 1588758890

Unknown Individual is a healthcare provider. based in Pepper pike, Ohio. specializing in Psychiatry Physician. They hold a License No. 35018992 (OH). The NPI Number for Unknown Individual is 1588758890

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588758890
Phone
(216) 464-4077
Address
3373 KERSDALE RD
Deactivation Date
6 September 2023
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

  • 3373, Kersdale Road, Pepper Pike, Cuyahoga County, Ohio, 44124, United States

    PEPPER PIKE, OH 441245605

    Phone: (216) 464-4077

    Fax: (216) 464-4078

    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 44124)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1588758890?
NPI 1588758890 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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Pepper Pike?
Public fields place Unknown Individual around Pepper Pike, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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