Unknown Individual – Psychologist, NPI 1407863624

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Psychologist. They hold a License No. 2-1461 (TX). The NPI Number for Unknown Individual is 1407863624

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407863624
Phone
(361) 443-9693
Address
4505 SILVER HOLLOW DR
Deactivation Date
1 March 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

  • 4505, Silver Hollow Drive, Corpus Christi, Nueces County, Texas, 78413, United States

    CORPUS CHRISTI, TX 784135038

    Phone: (361) 443-9693

    Type: Mailing

  • 5934, South Staples Street, South Side, Corpus Christi, Nueces County, Texas, 78413, United States

    SUITE 206

    CORPUS CHRISTI, TX 784133842

    Phone: (361) 443-9693

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78413)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1407863624 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Corpus Christi, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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