Unknown Individual – Psychologist, NPI 1124124763

Unknown Individual is a healthcare provider. based in Logan, Utah. specializing in Psychologist. They hold a License No. 117549-2501 (UT). The NPI Number for Unknown Individual is 1124124763

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124124763
Phone
(435) 753-2987
Address
35 N 1300 E
Deactivation Date
17 May 2023
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

  • 1300 East, Hillcrest Neighborhood, Foothill Lofts Apartments, Logan, Cache County, Utah, 84322, United States

    LOGAN, UT 843214935

    Phone: (435) 753-2987

    Type: Mailing

  • 90, East 200 North, Logan, Cache County, Utah, 84321, United States

    BRMH

    LOGAN, UT 843214034

    Phone: (435) 752-0750

    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 84321)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1124124763 uniquely identifies Unknown Individual in U.S. healthcare data.
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 does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Logan, Utah in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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