Unknown Individual – Psychologist, NPI 1790708725

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Psychologist. They hold a License No. 3738 (OH). The NPI Number for Unknown Individual is 1790708725

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790708725
Phone
(937) 424-1000
Address
627 S EDWIN C MOSES BLVD
Deactivation Date
6 March 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

  • 627, South Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45402, United States

    SUITE K 5TH FLOOR

    DAYTON, OH 454081461

    Phone: (937) 424-1000

    Type: Location

  • 1311, East High Street, Robberson, Springfield, Greene County, Missouri, 65803, United States

    SPRINGFIELD, OH 455051125

    Phone:

    Type: Mailing

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 45408)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1790708725.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Dayton, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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