Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1922210889

Unknown Individual is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. MD004997E (PA). The NPI Number for Unknown Individual is 1922210889

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922210889
Phone
(610) 667-9582
Address
1315 WALNUT ST
Deactivation Date
18 December 2020
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

  • The Philadelphia Building, 1315, Walnut Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    SUITE 1700

    PHILADELPHIA, PA 191074719

    Phone: (610) 667-9582

    Type: Location

  • 237, Hamilton Road, Merion Park, Penn Valley, Bala Cynwyd, Lower Merion Township, Montgomery County, Pennsylvania, 19072, United States

    MERION STATION, PA 190661102

    Phone:

    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

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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 19107)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1922210889.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Philadelphia, Pennsylvania.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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