Unknown Individual – Clinical Psychologist, NPI 1487692216

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Clinical Psychologist. They hold a License No. 3-0900 (TX). The NPI Number for Unknown Individual is 1487692216

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487692216
Phone
(800) 257-8715
Address
2129 SKYLINE DR
Deactivation Date
20 September 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

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Provider Addresses for Unknown Individual

  • 2129, Skyline Drive, Sansom Park, Tarrant County, Texas, 76114, United States

    FORT WORTH, TX 761141924

    Phone: (800) 257-8715

    Fax: (800) 819-1655

    Type: Location

  • 815, Link Drive, Red Bird Addition, Duncanville, Dallas County, Texas, 75116, United States

    #50

    DUNCANVILLE, TX 751162648

    Phone: (972) 709-9362

    Fax: (800) 819-1655

    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

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 76114)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1487692216; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Fort Worth, Texas on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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