Unknown Individual – Clinical Psychologist, NPI 1073500575

Unknown Individual is a healthcare provider. based in Richmond, Virginia. specializing in Clinical Psychologist. They hold a License No. 0810001071 (VA). The NPI Number for Unknown Individual is 1073500575

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073500575
Phone
(804) 794-3631
Address
1241 MALL DR
Deactivation Date
20 November 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

  • The Mall, Sheen, East Sheen, London Borough of Richmond upon Thames, London, Greater London, England, SW14 7EN, United Kingdom

    RICHMOND, VA 232354737

    Phone: (804) 794-3631

    Fax: (804) 379-6385

    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 23235)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1073500575?
NPI 1073500575 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Richmond?
Public fields place Unknown Individual around Richmond, Virginia. 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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