Unknown Individual – Psychiatry Physician, NPI 1205811056
Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
372 WASHINGTON ST STE C
WELLESLEY, MA 024816202
Phone: (781) 489-2300
Fax: (781) 489-2301
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)
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Medicare Enrollment & Revalidation
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
Insurance plans in this area (ZIP 02481)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | RI | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 207 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA |
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