Unknown Individual – Clinical Psychologist, NPI 1184613762

Unknown Individual is a healthcare provider. based in Belmont, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 6057 (MA). The NPI Number for Unknown Individual is 1184613762

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184613762
Phone
(617) 855-2854
Address
115 MILL ST
Deactivation Date
20 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
6178552854
Graduation Year
1976 (50 years ago)
PAC ID
1153515861
Professional Enrollment ID
I20101027000058
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

Loading map...

Provider Addresses for Unknown Individual

  • McLean Hospital, 115, Mill Street, Kendall Gardens, Belmont, Middlesex County, Massachusetts, 02478, United States

    BELMONT, MA 024781041

    Phone: (617) 855-2854

    Fax: (617) 855-2778

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 02478)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1184613762 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Belmont, Massachusetts for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

DR. JACQUELINE ANNE SAMSON (PH.D.)

Cognitive & Behavioral Psychologist
McLean Hospital, 115, Mill Street, Kendall Gardens, Belmont, Middlesex County, Massachusetts, 02478, United States
NPI: 1467454652

JESSICA ELLEN GOLDSTEIN (PHD)

Clinical Psychologist
McLean Hospital, 115, Mill Street, Kendall Gardens, Belmont, Middlesex County, Massachusetts, 02478, United States
NPI: 1477542777

DR. BRIAN L DELANEY (PSY.D.)

Clinical Psychologist
23, Chester Road, Cushing Square, Waverley, Belmont, Middlesex County, Massachusetts, 02478-3432, United States
NPI: 1992784581

DR. NANCY ANN HUXLEY (PH.D.)

Clinical Psychologist
18, Winn Road, Ward 9, Nashua, Hillsborough County, New Hampshire, 03062, United States
NPI: 1013996628
226 Massachusetts Ave Ste 3
NPI: 1184603334
33;35, Waverley Street, Waverley Square, Waverley, Belmont, Middlesex County, Massachusetts, 02478, United States
NPI: 1366413841

MARK CENTRELLA (PSY.D.)

Clinical Psychologist
76;78, Baker Street, Belmont, Middlesex County, Massachusetts, 02478, United States
NPI: 1396717880

RIMA SAAD (PH.D.)

Clinical Psychologist
McLean Hospital, 115, Mill Street, Kendall Gardens, Belmont, Middlesex County, Massachusetts, 02478, United States
NPI: 1417920125
5, Watson Road, Belmont, Belknap County, New Hampshire, 03220, United States
NPI: 1609843531