Unknown Individual – Psychiatry Physician, NPI 1477618593

Unknown Individual is a healthcare provider. based in Framingham, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 34147 (MA). The NPI Number for Unknown Individual is 1477618593

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477618593
Phone
(508) 872-3284
Address
657 FRANKLIN ST
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088723284
Graduation Year
1964 (62 years ago)
PAC ID
1355374455
Professional Enrollment ID
I20050917000353
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 657, Franklin Street, Framingham Center, Framingham, Middlesex County, Massachusetts, 01702, United States

    FRAMINGHAM, MA 017022919

    Phone: (508) 872-3284

    Fax: (508) 872-3284

    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 01702)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1477618593 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Framingham, Massachusetts for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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