Unknown Individual – Psychologist, NPI 1548239478

Unknown Individual is a healthcare provider. based in Provo, Utah. specializing in Psychologist. They hold a License No. 116020-2501 (UT). The NPI Number for Unknown Individual is 1548239478

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548239478
Phone
(801) 226-0120
Address
3707 N CANYON RD
Deactivation Date
6 March 2024
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

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Provider Addresses for Unknown Individual

  • North Canyon Road, Provo, Utah County, Utah, 84604, United States

    SUITE 2A

    PROVO, UT 846044592

    Phone: (801) 226-0120

    Fax: (801) 226-1889

    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 84604)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1548239478.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Provo, Utah?
If you are local to Provo, Utah, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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