Unknown Individual – Psychiatry Physician, NPI 1548308927

Unknown Individual is a healthcare provider. based in Haverhill, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 71571 (MA). The NPI Number for Unknown Individual is 1548308927

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548308927
Phone
(978) 373-8222
Address
76 SUMMER ST
Deactivation Date
4 June 2026

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
9786870156
Graduation Year
1973 (53 years ago)
PAC ID
3779520770
Group Practice PAC ID
2860688728
Professional Enrollment ID
I20050412000297
Data current as of
10 June 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

  • Whittier Health Network, 76, Summer Street, Highlands, Haverhill, Essex County, Massachusetts, 01830, United States

    HAVERHILL, MA 018305814

    Phone: (978) 373-8222

    Fax: (978) 373-8223

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($137).

Total Amount

$137

General + Research + Ownership

Payments

1

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050412000297IPediatric MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes43559$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2928$0
99238Hospital discharge day management, 30 minutes or less1817$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 01830)

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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: 2860688728View full group profile

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1548308927 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Haverhill, Massachusetts?
If you are local to Haverhill, Massachusetts, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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