Unknown Individual – Psychiatry Physician, NPI 1760419956

Unknown Individual is a healthcare provider. based in Madison, Wisconsin. specializing in Psychiatry Physician. They hold a License No. 22429 (WI). The NPI Number for Unknown Individual is 1760419956

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1760419956
Phone
(608) 301-1177
Address
301 TROY DR
Deactivation Date
25 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Mendota Mental Health Institute, 301, Troy Drive, North Lake Mendota, Mendota, Madison, Dane County, Wisconsin, 53704, United States

    MADISON, WI 537041521

    Phone: (608) 301-1177

    Fax: (608) 301-1139

    Type: Location

  • 1634, Pond View Court, Middleton, Dane County, Wisconsin, 53562, United States

    MIDDLETON, WI 535623789

    Phone: (608) 836-6338

    Type: Mailing

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 ·

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

Insurance plans in this area (ZIP 53704)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1760419956 if you need a stable reference for Unknown Individual.
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 Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Wisconsin?
You will see Madison, Wisconsin on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.