Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1851465959

Unknown Individual is a healthcare provider. based in Bellevue, Washington. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. MD00010438 (WA). The NPI Number for Unknown Individual is 1851465959

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1851465959
Phone
(425) 462-9511
Address
1300 114TH AVE SE
Deactivation Date
9 April 2026
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

  • Mercer Canal Building, 1300, 114th Avenue Southeast, Bellefield Office Park, Bellevue, King County, Washington, 98004, United States

    SUITE 115

    BELLEVUE, WA 980046942

    Phone: (425) 462-9511

    Fax: (425) 462-8894

    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 98004)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1851465959 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Child & Adolescent Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Bellevue, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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