Unknown Individual – Clinical Psychologist, NPI 1679584536

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Clinical Psychologist. They hold a License No. 2853 (OH). The NPI Number for Unknown Individual is 1679584536

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679584536
Phone
(937) 395-9049
Address
315 BEVERLY PL
Deactivation Date
30 October 2024
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

  • 315 BEVERLY PL

    DAYTON, OH 454193515

    Phone: (937) 395-9049

    Type: Mailing

  • 6465 REFLECTIONS DR

    SUITE 110

    DUBLIN, OH 430172355

    Phone: (614) 792-1108

    Fax: (614) 792-0018

    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.

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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 45419)

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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 1679584536 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Clinical Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Dayton, Ohio may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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