Unknown Individual – Psychologist, NPI 1588700652

Unknown Individual is a healthcare provider. based in College station, Texas. specializing in Psychologist. They hold a License No. 2-1955 (TX). The NPI Number for Unknown Individual is 1588700652

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588700652
Phone
(979) 695-8118
Address
207 ROCK PRAIRIE RD
Deactivation Date
13 September 2021
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

  • 207, Rock Prairie Road, Edelwiess, College Station, Brazos County, Texas, 77845, United States

    SUITE A-2

    COLLEGE STATION, TX 778458777

    Phone: (979) 695-8118

    Fax: (979) 694-7553

    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.

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 77845)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1588700652 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display College Station, Texas because that is what the record indicates for Unknown Individual.
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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