Unknown Individual – Psychologist, NPI 1770516122

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Psychologist. They hold a License No. 36572 (TX). The NPI Number for Unknown Individual is 1770516122

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770516122
Phone
(806) 773-4791
Address
307 VALE AVE
Deactivation Date
17 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 307, Vale Avenue, Whisperwood, Lubbock, Lubbock County, Texas, 79416, United States

    LUBBOCK, TX 794163101

    Phone: (806) 773-4791

    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 79416)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1770516122.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Lubbock?
Unknown Individual currently maps to Lubbock, Texas in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.