Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1851372965

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. 6301007817 (MI). The NPI Number for Unknown Individual is 1851372965

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1851372965
Phone
(210) 829-8324
Address
1309 WILTSHIRE AVE
Deactivation Date
7 August 2024
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

Provider Addresses for Unknown Individual

  • 1309 WILTSHIRE AVE

    SAN ANTONIO, TX 782096048

    Phone: (210) 829-8324

    Type: Mailing

  • 3851 ROGER BROOKE DR

    BROOKE ARMY MEDICAL CTR. MCHE QD

    FORT SAM HOUSTON, TX 782346200

    Phone: (210) 916-3710

    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

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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 ·

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

Insurance plans in this area (ZIP 78209)

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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 1851372965.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Child & Adolescent Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on San Antonio, Texas.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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