Unknown Individual – Psychologist, NPI 1780750471

Unknown Individual is a healthcare provider. based in Longview, Washington. specializing in Psychologist. They hold a License No. PSY2823 (WA). The NPI Number for Unknown Individual is 1780750471

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780750471
Phone
(360) 414-8600
Address
945 11TH AVE
Deactivation Date
13 October 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

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Provider Addresses for Unknown Individual

  • 945, 11th Avenue, Longview, Cowlitz County, Washington, 98632, United States

    SUITE B

    LONGVIEW, WA 986322555

    Phone: (360) 414-8600

    Fax: (360) 636-7372

    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.

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Medicare Enrollment & Revalidation

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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 98632)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1780750471.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Longview, Washington for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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