Unknown Individual – Clinical Psychologist, NPI 1710950126

Clinical Psychologist

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Clinical Psychologist. They hold a License No. PSY6028 (CA). The NPI Number for Unknown Individual is 1710950126

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1710950126

Phone

(253) 968-2252

Address

MADIGAN ARMY MEDICAL CENTER, 9040 REID STREET

Deactivation Date

20 February 2025

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

MADIGAN ARMY MEDICAL CENTER, 9040 REID STREET
ATTN. MCHJ-QCR
TACOMA, WA 984310001
Phone: (253) 968-2252
Fax: (253) 968-3278
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 98431)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1710950126 — is the standard way to identify this listing.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What is Unknown Individual's primary classification?

Clinical Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Tacoma, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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