Unknown Individual – Psychologist, NPI 1710084306

Unknown Individual is a healthcare provider. based in Fairlawn, Ohio. specializing in Psychologist. They hold a License No. 2875 (OH). The NPI Number for Unknown Individual is 1710084306

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710084306
Phone
(330) 873-9866
Address
3200 W MARKET ST
Deactivation Date
4 December 2025
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

  • 3200, West Market Street, Fairlawn, Summit County, Ohio, 44333, United States

    SUITE 101

    FAIRLAWN, OH 443333335

    Phone: (330) 873-9866

    Fax: (330) 873-1428

    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.

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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 44333)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1710084306?
NPI 1710084306 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Fairlawn?
Public fields place Unknown Individual around Fairlawn, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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