Unknown Individual – Clinical Psychologist, NPI 1649216318

Unknown Individual is a healthcare provider. based in College station, Texas. specializing in Clinical Psychologist. They hold a License No. 23718 (TX). The NPI Number for Unknown Individual is 1649216318

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649216318
Phone
(979) 690-9035
Address
730 PLUM HOLLOW DR
Deactivation Date
14 June 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

Loading map...

Provider Addresses for Unknown Individual

  • 730, Plum Hollow Drive, Pebble Creek, College Station, Brazos County, Texas, 77845, United States

    COLLEGE STATION, TX 778454475

    Phone: (979) 690-9035

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1649216318 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
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.
Does Unknown Individual practice in Texas?
You will see College Station, Texas on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

Woodlake Drive, Creek Meadows, Wellborn, College Station, Brazos County, Texas, 77845, United States
NPI: 1568422707

DR. JACK L. BODDEN (P.H.D.)

Clinical Psychologist
1600, University Drive East, College Station, Brazos County, Texas, 77840, United States
NPI: 1649230814

DR. M. THERESA QUINN (P.H.D.)

Clinical Psychologist
PO BOX 847408
NPI: 1437110194

DR. EDEN JOY SCHMEICHEL (PH.D.)

Clinical Psychologist
408, Tarrow Street, College Station, Brazos County, Texas, 77840, United States
NPI: 1881619823

DR. BRIAN H. STAGNER (PH.D.)

Clinical Psychologist
408, Tarrow Street, College Station, Brazos County, Texas, 77840, United States
NPI: 1245342443
Tarrow Street East, College Station, Brazos County, Texas, 77840, United States
NPI: 1003910449
Regal Oaks Drive, Sweetwater Forest, College Station, Brazos County, Texas, 77881, United States
NPI: 1972689024
408 Tarrow St
NPI: 1639239965

MARIBEL R HINOJOSA (PHD)

Clinical Psychologist
2172, Chestnut Oak Circle, College Station, Brazos County, Texas, 77845, United States
NPI: 1821158353