Unknown Individual – Psychiatry Physician, NPI 1598714602

Unknown Individual is a healthcare provider. based in Brockton, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 223578 (MA). The NPI Number for Unknown Individual is 1598714602

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598714602
Phone
(508) 894-8319
Address
940 BELMONT STREET, BUILDING 7, 2ND FLOOR
Deactivation Date
2 October 2025

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
5082368110
Graduation Year
2001 (25 years ago)
PAC ID
5496783862
Group Practice PAC ID
4981653789
Professional Enrollment ID
I20050728000165
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

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Provider Addresses for Unknown Individual

  • 940 BELMONT STREET, BUILDING 7, 2ND FLOOR

    MCLEAN HOSPITAL SOUTHEAST

    BROCKTON, MA 023015596

    Phone: (508) 894-8319

    Type: Mailing

  • VA Boston Healthcare System - Brockton, 940, Belmont Street, Brockton, Plymouth County, Massachusetts, 02301, United States

    MCLEAN HOSPITAL SOUTHEAST

    BROCKTON, MA 023015596

    Phone: (508) 894-8300

    Type: Location

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6520$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2413$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2322$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1918$0
90792Psychiatric diagnostic evaluation with medical services1515$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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 services2020

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: 4981653789View full group profile
NameSpecialtyState
Infectious DiseaseRI
Clinical Social WorkerMA
Physician AssistantMA
Emergency MedicineMA
Nurse PractitionerMA
-MA
Emergency MedicineRI
Physician AssistantMA
Emergency MedicineNY
-MA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1598714602.
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.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Brockton, Massachusetts. Check all listed addresses for suites or satellite offices.
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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