Unknown Individual – Clinical Psychologist, NPI 1386684744

Unknown Individual is a healthcare provider. based in Bellevue, Washington. specializing in Clinical Psychologist. They hold a License No. PY00000420 (WA). The NPI Number for Unknown Individual is 1386684744

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386684744
Phone
(425) 454-3110
Address
1601 114TH AVE SE
Deactivation Date
1 March 2021
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

  • Alderwood Building, 1601, 114th Avenue Southeast, Bellefield Office Park, Bellevue, King County, Washington, 98004, United States

    SUITE 145

    BELLEVUE, WA 980046950

    Phone: (425) 454-3110

    Fax: (425) 283-0486

    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.

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 98004)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1386684744?
NPI 1386684744 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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Bellevue, Washington 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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