Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1902076144

Unknown Individual is a healthcare provider. based in Canton, Ohio. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. 223 (OH). The NPI Number for Unknown Individual is 1902076144

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902076144
Phone
(330) 499-2907
Address
4531 WESTWOOD DRIVE
Deactivation Date
13 September 2021
Data current as of
20 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

  • Westwood Drive, Canton, Hartford County, Connecticut, 06092, United States

    CANTON, OH 447091912

    Phone: (330) 499-2907

    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.

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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 44709)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1902076144 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Child & Adolescent Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Canton, Ohio for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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Unknown Individual

Clinical Child & Adolescent Psychologist
4641 FULTON DR NW
NPI: 1922393594