Unknown Individual – Psychiatry Physician, NPI 1720008279

Unknown Individual is a healthcare provider. based in Arlington, Texas. specializing in Psychiatry Physician. They hold a License No. MD005912E (PA). The NPI Number for Unknown Individual is 1720008279

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720008279
Phone
(817) 465-0116
Address
3008 SPRING OAK PL
Deactivation Date
5 March 2026
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

  • 3008, Spring Oak Place, Arlington, Tarrant County, Texas, 76017, United States

    ARLINGTON, TX 760172535

    Phone: (817) 465-0116

    Type: Mailing

  • Pittsburgh, Allegheny County, Pennsylvania, United States

    PITTSBURGH, PA 152212940

    Phone: (412) 731-9707

    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.

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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 76017)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1720008279.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Arlington, Texas in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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