Unknown Individual – Clinical Psychologist, NPI 1265558548

Unknown Individual is a healthcare provider. based in New bedford, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 3656 (MA). The NPI Number for Unknown Individual is 1265558548

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265558548
Phone
(508) 997-0794
Address
466 COUNTY ST
Deactivation Date
1 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174794545
Graduation Year
1977 (49 years ago)
PAC ID
8426029430
Group Practice PAC ID
4183524887
Professional Enrollment ID
I20040803001685
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

Provider Addresses for Unknown Individual

  • 466 COUNTY ST

    NEW BEDFORD, MA 027405107

    Phone: (508) 997-0794

    Fax: (508) 999-6607

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes1,381102$0
90791Psychiatric diagnostic evaluation7266$0
View full utilization report →

Insurance plans in this area (ZIP 02740)

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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: 4183524887View full group profile
NameSpecialtyState
Nurse PractitionerMA
Clinical PsychologistMA
-MA
Clinical Social WorkerMA
Clinical Social WorkerMA
-MA
Clinical PsychologistVA
-MA
Clinical Social WorkerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1265558548.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is New Bedford, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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