Unknown Individual – Psychiatry Physician, NPI 1700830643

Unknown Individual is a healthcare provider. based in Wichita falls, Texas. specializing in Psychiatry Physician. They hold a License No. C6537 (TX). The NPI Number for Unknown Individual is 1700830643

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700830643
Phone
(940) 723-0012
Address
2410 9TH ST
Deactivation Date
3 February 2022
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

  • 2410, 9th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763014033

    Phone: (940) 723-0012

    Fax: (940) 723-2058

    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 ·

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 76301)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1700830643 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Wichita Falls, Texas?
If you are local to Wichita Falls, Texas, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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