Unknown Individual – Psychologist, NPI 1194739730

Unknown Individual is a healthcare provider. based in State college, Pennsylvania. specializing in Psychologist. They hold a License No. PS004969L (PA). The NPI Number for Unknown Individual is 1194739730

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194739730
Phone
(814) 234-1514
Address
529 W NITTANY AVE
Deactivation Date
22 May 2025
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

  • 529, West Nittany Avenue, Holmes-Foster Historic District, State College, Centre County, Pennsylvania, 16801, United States

    STATE COLLEGE, PA 168014059

    Phone: (814) 234-1514

    Fax: (814) 867-2794

    Type: Mailing

  • The Highlands, 229, West Foster Avenue, Downtown State College, State College, Centre County, Pennsylvania, 16801, United States

    STATE COLLEGE, PA 168014823

    Phone: (814) 238-1880

    Fax: (814) 867-2794

    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 16801)

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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 1194739730 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 is Unknown Individual's primary classification?
Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near State College, Pennsylvania may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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