Unknown Individual – Clinical Psychologist, NPI 1437215159

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Clinical Psychologist. They hold a License No. 20777 (TX). The NPI Number for Unknown Individual is 1437215159

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1437215159
Phone
(800) 257-8715
Address
616 W RUSSELL PL
Deactivation Date
30 January 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

  • 616, West Russell Place, Alta Vista, San Antonio, Bexar County, Texas, 78212, United States

    SAN ANTONIO, TX 782123658

    Phone: (800) 257-8715

    Type: Location

  • 4008, Granada Drive, Georgetown, Williamson County, Texas, 78628, United States

    GEORGETOWN, TX 786281616

    Phone: (512) 635-7026

    Type: Mailing

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

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 78212)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1437215159 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes San Antonio, Texas for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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