Unknown Individual – Psychologist, NPI 1871690537

Unknown Individual is a healthcare provider. based in Lewis center, Ohio. specializing in Psychologist. They hold a License No. 4896 (OH). The NPI Number for Unknown Individual is 1871690537

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1871690537
Phone
(740) 548-7090
Address
2930 WATERFORD DR
Deactivation Date
8 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2930 WATERFORD DR

    LEWIS CENTER, OH 430359238

    Phone: (740) 548-7090

    Type: Mailing

  • 5701, North High Street, Clintonville, Worthington, Sharon Township, Franklin County, Ohio, 43085, United States

    SUITE 208

    WORTHINGTON, OH 430853973

    Phone: (614) 436-0444

    Fax: (614) 436-1064

    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.

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.

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 43035)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1871690537.
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?
Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Lewis Center, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
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.