Unknown Individual – Psychologist, NPI 1275526907

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Psychologist. They hold a License No. 21022 (TX). The NPI Number for Unknown Individual is 1275526907

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275526907
Phone
(817) 877-0033
Address
6420 SOUTHWEST BLVD.
Deactivation Date
27 September 2021
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

  • 6420, Southwest Boulevard, Benbrook, Tarrant County, Texas, 76132, United States

    #112

    FORT WORTH, TX 761093929

    Phone: (817) 877-0033

    Fax: (817) 877-0032

    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 76109)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1275526907 is assigned to Unknown Individual under the national enumeration system.
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 Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Fort Worth, Texas for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1275526907. Always confirm identity and privileges with the practice and licensing boards.

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