Unknown Individual – Clinical Psychologist, NPI 1770790479

Unknown Individual is a healthcare provider. based in Georgetown, Texas. specializing in Clinical Psychologist. They hold a License No. 34760 (TX). The NPI Number for Unknown Individual is 1770790479

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770790479
Phone
(512) 868-3713
Address
151 YOUNG RANCH RD
Deactivation Date
16 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 151 YOUNG RANCH RD

    GEORGETOWN, TX 786334313

    Phone: (512) 868-3713

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78633)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1770790479 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Georgetown?
Public fields place Unknown Individual around Georgetown, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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