Unknown Individual – Clinical Psychologist, NPI 1649359977

Unknown Individual is a healthcare provider. based in Springfield, Ohio. specializing in Clinical Psychologist. They hold a License No. 1629 (OH). The NPI Number for Unknown Individual is 1649359977

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649359977
Phone
(937) 390-2564
Address
1180 E HOME RD
Deactivation Date
27 January 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

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Provider Addresses for Unknown Individual

  • 1180, East Home Road, Edgewood Farms, Home Orchards, Springfield, Clark County, Ohio, 45503, United States

    # P

    SPRINGFIELD, OH 455032726

    Phone: (937) 390-2564

    Fax: (937) 390-7445

    Type: Mailing

  • 2507, Rebecca Drive, Greenlawn Village, Home Orchards, Springfield, Clark County, Ohio, 45503, United States

    SPRINGFIELD, OH 455032252

    Phone: (937) 390-2564

    Fax: (937) 390-7145

    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

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 45503)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1649359977 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Springfield, Ohio for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1649359977. Always confirm identity and privileges with the practice and licensing boards.

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