Unknown Individual – Psychiatry Physician, NPI 1245290733

Unknown Individual is a healthcare provider. based in Lewisville, Texas. specializing in Psychiatry Physician. They hold a License No. 17454 (KY). The NPI Number for Unknown Individual is 1245290733

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245290733
Phone
(972) 420-8345
Address
1500 Waters Ridge Dr
Deactivation Date
11 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1500 Waters Ridge Dr

    Lewisville, TX 750576011

    Phone: (972) 420-8345

    Fax: (972) 420-7770

    Type: Location

  • 1100 Walnut St

    Owensboro, KY 423012956

    Phone: (270) 689-6500

    Fax: (270) 689-6677

    Type: Location

  • Terre Haute Post Office, 70, Rose Avenue, Terre Haute, Vigo County, Indiana, 47803, United States

    TERRE HAUTE, IN 478040323

    Phone: (812) 231-8200

    Fax: (972) 420-7770

    Type: Mailing

  • 620, 8th Avenue, Terre Haute, Vigo County, Indiana, 47804, United States

    TERRE HAUTE, IN 478042771

    Phone: (812) 231-8200

    Type: Location

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

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 ·

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 75057)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1245290733.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Lewisville, Texas?
If you are local to Lewisville, Texas, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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