Unknown Individual – Clinical Psychologist, NPI 1205971389

Unknown Individual is a healthcare provider. based in Brownsville, Texas. specializing in Clinical Psychologist. They hold a License No. 21177 (TX). The NPI Number for Unknown Individual is 1205971389

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205971389
Phone
(956) 546-0363
Address
866 W PRICE RD
Deactivation Date
21 October 2023
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

  • 866 W PRICE RD

    BROWNSVILLE, TX 785208702

    Phone: (956) 546-0363

    Fax: (956) 546-2901

    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.

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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 78520)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1205971389 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Brownsville, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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