Unknown Individual – Clinical Psychologist, NPI 1881699338

Unknown Individual is a healthcare provider. based in Athens, Ohio. specializing in Clinical Psychologist. They hold a License No. 1215 (OH). The NPI Number for Unknown Individual is 1881699338

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881699338
Phone
(740) 592-5689
Address
122 E STATE ST
Deactivation Date
19 December 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

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Provider Addresses for Unknown Individual

  • State Street, Athens, Athens-Clarke County, Georgia, 30334-1458, United States

    ATHENS, OH 457011743

    Phone: (740) 592-5689

    Fax: (740) 593-7166

    Type: Mailing

  • 122, East State Street, Athens, Athens County, Ohio, 45701, United States

    ATHENS, OH 457011743

    Phone: (740) 592-5689

    Fax: (740) 593-7166

    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.

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 45701)

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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 1881699338.
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 specialty?
The listing groups Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Athens, Ohio in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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