Unknown Individual – Clinical Psychologist, NPI 1073545737

Unknown Individual is a healthcare provider. based in San angelo, Texas. specializing in Clinical Psychologist. They hold a License No. 23563 (TX). The NPI Number for Unknown Individual is 1073545737

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073545737
Phone
(325) 942-1952
Address
3115 LOOP 306
Deactivation Date
17 January 2022
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

  • Loop 306, San Angelo, Tom Green County, Texas, 76909, United States

    SUITE 110

    SAN ANGELO, TX 769045983

    Phone: (325) 942-1952

    Fax: (325) 942-1517

    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.

This can happen when there are no reportable CMS Open Payments records.

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 76904)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1073545737 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists San Angelo, Texas for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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