Unknown Individual – Clinical Psychologist, NPI 1184610180

Unknown Individual is a healthcare provider. based in Roanoke, Virginia. specializing in Clinical Psychologist. They hold a License No. 0810000601 (VA). The NPI Number for Unknown Individual is 1184610180

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184610180
Phone
(540) 774-4205
Address
PO BOX 21844
Deactivation Date
20 February 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

  • USPS Roanoke PO Box Area, 516, East Byron Nelson Boulevard, Roanoke, Denton County, Texas, 76262, United States

    ROANOKE, VA 240180186

    Phone: (540) 774-4205

    Fax: (540) 774-3080

    Type: Mailing

  • 3621, Manassas Drive, Mount Vernon Heights, Cave Spring, Roanoke County, Virginia, 24018, United States

    ROANOKE, VA 240184031

    Phone: (540) 774-4205

    Fax: (540) 774-3080

    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 24018)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1184610180 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Roanoke, Virginia in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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