Unknown Individual – Clinical Psychologist, NPI 1679524664

Unknown Individual is a healthcare provider. based in Williston, Vermont. specializing in Clinical Psychologist. They hold a License No. 830 (VT). The NPI Number for Unknown Individual is 1679524664

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679524664
Phone
(802) 651-7634
Address
4185 ST GEORGE RD
Deactivation Date
22 May 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

  • 4185, Saint George Road, Williston, Chittenden County, Vermont, 05495, United States

    WILLISTON, VT 054957695

    Phone: (802) 651-7634

    Type: Location

  • 126, Skunk Hollow Road, Jericho, Chittenden County, Vermont, 05465, United States

    JERICHO, VT 054653033

    Phone: (802) 899-4848

    Type: Mailing

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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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)

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

Insurance plans in this area (ZIP 05495)

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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 1679524664.
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 Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Williston, Vermont as the reference point for Unknown Individual, then confirm.
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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