Unknown Individual – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1114944287

Unknown Individual is a healthcare provider. based in Hyannis, Massachusetts. specializing in Adult Psychiatric/Mental Health Clinical Nurse Specialist. They hold a License No. 95315 (MA). The NPI Number for Unknown Individual is 1114944287

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1114944287
Phone
(617) 847-1950
Address
310 BARNSTABLE RD
Deactivation Date
18 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178471950
Graduation Year
1970 (56 years ago)
PAC ID
8426086216
Group Practice PAC ID
4082508429
Professional Enrollment ID
I20050802001069
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

  • 310, Barnstable Road, Hyannis, Barnstable, Barnstable County, Massachusetts, 02601-5542, United States

    HYANNIS, MA 026012902

    Phone: (617) 847-1950

    Fax: (617) 774-1490

    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 02601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082508429View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)MA
-MA
-MA
Clinical Social WorkerMA
-MA
Clinical PsychologistMA
Clinical Social WorkerMA
Mental Health CounselorMA
-MA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1114944287 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Adult Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Hyannis?
Unknown Individual currently maps to Hyannis, Massachusetts in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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