Unknown Individual – Clinical Psychologist, NPI 1487764452

Unknown Individual is a healthcare provider. based in Gloucester, Virginia. specializing in Clinical Psychologist. They hold a License No. 0810001643 (VA). The NPI Number for Unknown Individual is 1487764452

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487764452
Phone
(804) 693-0810
Address
7580 HOSPITAL DR
Deactivation Date
17 April 2024
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

Loading map...

Provider Addresses for Unknown Individual

  • 7580, Hospital Drive, Gloucester County, Virginia, 23061, United States

    SUITE 201

    GLOUCESTER, VA 230614178

    Phone: (804) 693-0810

    Fax: (804) 693-0211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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 23061)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1487764452?
NPI 1487764452 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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Gloucester?
Public fields place Unknown Individual around Gloucester, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

DR. EFRAIN SEGARRA (PHD)

Clinical Psychologist
5557 CARYS BROOK LN
NPI: 1497759419

VALARIE SIKES-NOVA (PSY.D.)

Clinical Psychologist
7580, Hospital Drive, Gloucester County, Virginia, 23061, United States
NPI: 1184661985

GENESIS COUNSELING CENTER, INC.

Professional Counselor
4034 George Washington Mem Hwy
NPI: 1164451399
7580, Hospital Drive, Gloucester County, Virginia, 23061, United States
NPI: 1164515821
PO BOX 629
NPI: 1790830719