Unknown Individual – Clinical Psychologist, NPI 1356561674

Unknown Individual is a healthcare provider. based in Newtown square, Pennsylvania. specializing in Clinical Psychologist. They hold a License No. PS005076L (PA). The NPI Number for Unknown Individual is 1356561674

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356561674
Phone
(610) 353-5636
Address
811 PRITCHARD DRIVE
Deactivation Date
6 February 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

Provider Addresses for Unknown Individual

  • 811 PRITCHARD DRIVE

    NEWTOWN SQUARE, PA 190733035

    Phone: (610) 353-5636

    Type: Mailing

  • 1503 MCDANIEL DRIVE

    WEST CHESTER, PA 193804620

    Phone: (610) 692-1700

    Fax: (610) 692-0468

    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

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19073)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1356561674 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Newtown Square, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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