Unknown Individual – Psychologist, NPI 1790211076

Unknown Individual is a healthcare provider. based in Spokane valley, Washington. specializing in Psychologist. They hold a License No. 0000506 (WA). The NPI Number for Unknown Individual is 1790211076

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790211076
Phone
(509) 990-9880
Address
2515 S PIERCE RD
Deactivation Date
26 February 2026
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

  • 2515, South Pierce Road, Opportunity, Spokane Valley, Spokane County, Washington, 99206, United States

    SPOKANE VALLEY, WA 992065670

    Phone: (509) 990-9880

    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.

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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 99206)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1790211076.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Spokane Valley, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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