Unknown Individual – Clinical Psychologist, NPI 1851403067

Unknown Individual is a healthcare provider. based in Provo, Utah. specializing in Clinical Psychologist. They hold a License No. 921170982501 (UT). The NPI Number for Unknown Individual is 1851403067

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1851403067
Phone
(801) 373-4760
Address
750 NORTH 200 WEST
Deactivation Date
20 April 2022
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

  • 750, North Freedom Boulevard, North Park, Provo, Utah County, Utah, 84601, United States

    PROVO, UT 84601

    Phone: (801) 373-4760

    Fax: (801) 373-0639

    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 84601)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1851403067 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Provo, Utah because that is what the record indicates for Unknown Individual.
What if Provo, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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