Unknown Individual – Clinical Psychologist, NPI 1154409209

Unknown Individual is a healthcare provider. based in Sharon, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 3040 (MA). The NPI Number for Unknown Individual is 1154409209

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1154409209
Phone
(781) 784-8372
Address
80 UPLAND ROAD
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817848372
Graduation Year
1981 (45 years ago)
PAC ID
8628101920
Professional Enrollment ID
I20181005001483
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

  • 80, Upland Road, Sharon, Norfolk County, Massachusetts, 02067, United States

    SHARON, MA 02067

    Phone: (781) 784-8372

    Fax: (781) 806-5023

    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

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 02067)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1154409209.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Sharon, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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