Unknown Individual – Psychiatry Physician, NPI 1487609806

Unknown Individual is a healthcare provider. based in Woburn, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 81635 (MA). The NPI Number for Unknown Individual is 1487609806

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487609806
Phone
(781) 224-0611
Address
800 W CUMMINGS PARK
Deactivation Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812240611
Graduation Year
1997 (29 years ago)
PAC ID
3274516539
Group Practice PAC ID
0749263903
Professional Enrollment ID
I20040609000586
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

  • 800, West Cummings Park, Walnut Hill, Woburn, Middlesex County, Massachusetts, 01801, United States

    SUITE 4700

    WOBURN, MA 018016372

    Phone: (781) 224-0611

    Fax: (781) 224-1993

    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 01801)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMA90792Psychiatric diagnostic evaluation with medical services5449

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

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1487609806; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Woburn, Massachusetts for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1487609806. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

PETER A ORLOV (M.D.)

Psychiatry Physician
8, Marshall Road, Shaker Glen, Lexington, Middlesex County, Massachusetts, 02420-2219, United States
NPI: 1477550754

DR. SANGEETA BANERJEE (M.D.)

Psychiatry Physician
Baldwin Park, 12, Alfred Street, Kimball Towers and Court, Woburn, Middlesex County, Massachusetts, 01801, United States
NPI: 1285605907
P.O. BOX 5-0397
NPI: 1114979580
800, West Cummings Park, Walnut Hill, Woburn, Middlesex County, Massachusetts, 01801, United States
NPI: 1326053786

DR. PETER MAURICE BRIGHAM (MD)

Psychiatry Physician
Baldwin Park, 12, Alfred Street, Kimball Towers and Court, Woburn, Middlesex County, Massachusetts, 01801, United States
NPI: 1821184144

LAWRENCE JAMES FUHRMAN (MD)

Psychiatry Physician
8, Cedar Street, Walnut Hill, Woburn, Middlesex County, Massachusetts, 01801, United States
NPI: 1861566671

DR. JOSEPH RATNER (M.D.)

Psychiatry Physician
2 REHABILITATION WAY
NPI: 1609919257

KATHERINE C CLARK (M.D.)

Psychiatry Physician
500 UNICORN PARK DR
NPI: 1548402100
30 LUCILLE PL
NPI: 1013277656