Unknown Individual – Prescribing (Medical) Psychologist, NPI 1174709695

Unknown Individual is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Prescribing (Medical) Psychologist. They hold a License No. 12852 (OK). The NPI Number for Unknown Individual is 1174709695

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174709695
Phone
(405) 631-2593
Address
1145 W I 240 SERVICE RD # 201
Deactivation Date
7 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

Provider Addresses for Unknown Individual

  • 1145 W I 240 SERVICE RD # 201

    OKLAHOMA CITY, OK 731392134

    Phone: (405) 631-2593

    Fax: (405) 631-2607

    Type: Location

  • 1414, Broad Acres Drive, Brookhaven, Norman, Cleveland County, Oklahoma, 73072, United States

    NORMAN, OK 730723122

    Phone: (405) 364-2580

    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 73139)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1174709695.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Prescribing (Medical) Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Oklahoma City, Oklahoma. 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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