Unknown Individual – Clinical Psychologist, NPI 1386972479

Unknown Individual is a healthcare provider. based in Port townsend, Washington. specializing in Clinical Psychologist. They hold a License No. 00003350 (WA). The NPI Number for Unknown Individual is 1386972479

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386972479
Phone
(360) 531-3579
Address
PO BOX 384
Deactivation Date
20 December 2023
Data current as of
20 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

  • PO BOX 384

    PORT TOWNSEND, WA 983680384

    Phone: (360) 531-3579

    Fax: (360) 385-3144

    Type: Mailing

  • 2140, Lawrence Street, Port Townsend, Jefferson County, Washington, 98368, United States

    PORT TOWNSEND, WA 983687925

    Phone: (360) 531-3579

    Fax: (360) 385-3144

    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.

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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 98368)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1386972479 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Port Townsend, Washington because that is what the record indicates for Unknown Individual.
What if Port Townsend, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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