Unknown Individual – Clinical Psychologist, NPI 1184689440

Unknown Individual is a healthcare provider. based in Austin, Texas. specializing in Clinical Psychologist. They hold a License No. 2-2744 (TX). The NPI Number for Unknown Individual is 1184689440

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184689440
Phone
(512) 329-0951
Address
901 SOUTH MOPAC EXPY
Deactivation Date
8 November 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

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Provider Addresses for Unknown Individual

  • Barton Oaks Plaza Building 2, 901, South Mopac Expressway, Austin, Travis County, Texas, 78746, United States

    BLDG I, SUITE 480

    AUSTIN, TX 787465787

    Phone: (512) 329-0951

    Fax: (512) 329-0231

    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 78746)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1184689440 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
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.
What location shows for Unknown Individual?
We surface Austin, Texas for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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