Unknown Individual – Psychologist, NPI 1487825766

Unknown Individual is a healthcare provider. based in Plymouth, Massachusetts. specializing in Psychologist. They hold a License No. 7918 (MA). The NPI Number for Unknown Individual is 1487825766

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487825766
Phone
(508) 830-2800
Address
275 SANDWICH ST
Deactivation Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087462000
Graduation Year
1999 (27 years ago)
PAC ID
8729167655
Group Practice PAC ID
8224947536
Professional Enrollment ID
I20080505000264
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Beth Israel Deaconess Hospital - Plymouth, 275, Sandwich Street, Jabez Corner, Plymouth, Plymouth County, Massachusetts, 02360, United States

    JORDAN HOSPITAL EMERGENCY DEPARTMENT

    PLYMOUTH, MA 02360

    Phone: (508) 830-2800

    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.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02360)

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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: 8224947536View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1487825766 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Plymouth, Massachusetts as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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