Unknown Individual – Clinical Psychologist, NPI 1538230636

Unknown Individual is a healthcare provider. based in Mill creek, Washington. specializing in Clinical Psychologist. They hold a License No. TE60863726 (WA). The NPI Number for Unknown Individual is 1538230636

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1538230636
Phone
(920) 765-1488
Address
1206 MILL CREEK BLVD APT C206
Deactivation Date
9 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1206 MILL CREEK BLVD APT C206

    MILL CREEK, WA 980124013

    Phone: (920) 765-1488

    Type: Mailing

  • 7520, Totem Beach Road, Tulalip Bay, Snohomish County, Washington, 98271, United States

    TULALIP, WA 98271

    Phone: (360) 716-4511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98012)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1538230636.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Mill Creek, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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