Unknown Individual – Clinical Psychologist, NPI 1730224254

Unknown Individual is a healthcare provider. based in Beavercreek, Ohio. specializing in Clinical Psychologist. They hold a License No. 1910 (OH). The NPI Number for Unknown Individual is 1730224254

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730224254
Phone
(937) 426-2079
Address
PO BOX 340398
Deactivation Date
3 December 2020
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

  • PO BOX 340398

    BEAVERCREEK, OH 454340398

    Phone: (937) 426-2079

    Fax: (937) 426-0211

    Type: Mailing

  • 1195 MEADOW BRIDGE DR STE B

    BEAVERCREEK, OH 454344302

    Phone: (937) 426-2079

    Fax: (937) 426-0211

    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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45434)

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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 1730224254 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Clinical Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Beavercreek, Ohio in the data we show; additional addresses may exist on the full record.
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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