Unknown Individual – Clinical Psychologist, NPI 1972505121

Unknown Individual is a healthcare provider. based in Havertown, Pennsylvania. specializing in Clinical Psychologist. They hold a License No. PS-005111-L (PA). The NPI Number for Unknown Individual is 1972505121

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972505121
Phone
Not provided
Address
1618 ROSE GLEN RD
Deactivation Date
27 September 2024
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

  • 1618 ROSE GLEN RD

    HAVERTOWN, PA 190831810

    Phone:

    Mailing address matches the actual address.

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 ·

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

Insurance plans in this area (ZIP 19083)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1972505121 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Havertown, Pennsylvania. 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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