Unknown Individual – Psychiatry Physician, NPI 1417998311

Unknown Individual is a healthcare provider. based in Norman, Oklahoma. specializing in Psychiatry Physician. They hold a License No. E-1092 (AR). The NPI Number for Unknown Individual is 1417998311

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417998311
Phone
(405) 573-3821
Address
320 12TH AVE NE
Deactivation Date
17 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Childrens Recovery Center, 320, 12th Avenue Northeast, Norman, Cleveland County, Oklahoma, 73071, United States

    NORMAN, OK 730715238

    Phone: (405) 573-3821

    Fax: (405) 573-8256

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($76).

Total Amount

$76

General + Research + Ownership

Payments

1

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 73071)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1417998311 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Norman, Oklahoma.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.