Unknown Individual – Psychiatry Physician, NPI 1316163603

Unknown Individual is a healthcare provider. based in Bainbridge island, Washington. specializing in Psychiatry Physician. They hold a License No. C32714 (CA). The NPI Number for Unknown Individual is 1316163603

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316163603
Phone
(206) 780-1547
Address
9551 NE SOUTH BEACH DR
Deactivation Date
7 June 2023
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

Provider Addresses for Unknown Individual

  • 9551 NE SOUTH BEACH DR

    #3C

    BAINBRIDGE ISLAND, WA 98110

    Phone: (206) 780-1547

    Fax: (206) 780-7941

    Type: Mailing

  • 23852 PACIFIC COAST HWY

    #333

    MALIBU, CA 90265

    Phone: (206) 419-3348

    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

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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 98110)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1316163603 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is Unknown Individual registered?
Use Bainbridge Island, Washington as the headline location for Unknown Individual here.
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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