Unknown Individual – Psychologist, NPI 1558346163

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Psychologist. They hold a License No. 2-3297 (TX). The NPI Number for Unknown Individual is 1558346163

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558346163
Phone
(214) 692-5793
Address
11311 N CENTRAL EXPY
Deactivation Date
12 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 11311, North Central Expressway, Gifford, Dallas, Dallas County, Texas, 75243, United States

    #208

    DALLAS, TX 752436707

    Phone: (214) 692-5793

    Fax: (214) 368-7311

    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.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Insurance plans in this area (ZIP 75243)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1558346163?
NPI 1558346163 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Dallas, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.