Unknown Individual – Psychologist, NPI 1952387672

Unknown Individual is a healthcare provider. based in Shaker heights, Ohio. specializing in Psychologist. They hold a License No. 6102 (OH). The NPI Number for Unknown Individual is 1952387672

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1952387672
Phone
(410) 603-1139
Address
19815 SHELBURNE RD
Deactivation Date
12 March 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

  • Shelburne Road, Fairmount Circle, Shaker Heights, Cuyahoga County, Ohio, 44118, United States

    SHAKER HEIGHTS, OH 441184961

    Phone: (410) 603-1139

    Type: Mailing

  • 21099 SHELBURNE RD

    SHAKER HEIGHTS, OH 441221945

    Phone: (216) 973-8179

    Type: Mailing

  • 3445 WARRENSVILLE CENTER RD

    SHAKER HEIGHTS, OH 441225206

    Phone: (216) 973-8179

    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 44118)

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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 1952387672 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Shaker Heights, Ohio in our summary view.
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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Psychologist
3570, Warrensville Center Road, Van Aken District, Shaker Heights, Cuyahoga County, Ohio, 44122, United States
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