Unknown Individual – Geriatric Psychiatry Physician, NPI 1215027834

Unknown Individual is a healthcare provider. based in Salt lake city, Utah. specializing in Geriatric Psychiatry Physician. They hold a License No. 147610-1205 (UT). The NPI Number for Unknown Individual is 1215027834

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215027834
Phone
(801) 213-3800
Address
PO BOX 581079
Deactivation Date
4 December 2025
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

  • PO BOX 581079

    SALT LAKE CITY, UT 841581079

    Phone: (801) 213-3800

    Type: Mailing

  • 50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SALT LAKE CITY, UT 841320001

    Phone: (801) 581-7951

    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 84158)

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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 1215027834.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Geriatric Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Salt Lake City?
Public fields place Unknown Individual around Salt Lake City, Utah. Always confirm the exact site before visiting.
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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