Unknown Individual – Psychologist, NPI 1548292618

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Psychologist. They hold a License No. 22936 (TX). The NPI Number for Unknown Individual is 1548292618

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548292618
Phone
(806) 354-5585
Address
1400 WALLACE BLVD
Deactivation Date
28 November 2024
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

  • 1400, Wallace Boulevard, Amarillo, Potter County, Texas, 79106, United States

    ATTN CREDENTIALING

    AMARILLO, TX 79106

    Phone: (806) 354-5585

    Fax: (806) 356-4673

    Type: Mailing

  • 1400, Coulter Street, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 79106

    Phone: (806) 354-5620

    Fax: (806) 351-3783

    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.

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 79106)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1548292618 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Amarillo, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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Unknown Individual

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P O BOX 50360
NPI: 1366537839
1400, Wallace Boulevard, Amarillo, Potter County, Texas, 79106, United States
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3505 OLSEN BLVD
NPI: 1962537035