Unknown Individual – Clinical Psychologist, NPI 1609843531

Unknown Individual is a healthcare provider. based in Belmont, Massachusetts. specializing in Clinical Psychologist. They hold a License No. PY 3501 PR (MA). The NPI Number for Unknown Individual is 1609843531

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609843531
Phone
(617) 489-2573
Address
5 WATSON RD
Deactivation Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174892573
Graduation Year
1982 (44 years ago)
PAC ID
4688679772
Professional Enrollment ID
I20060925000040
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5, Watson Road, Belmont, Belknap County, New Hampshire, 03220, United States

    #204

    BELMONT, MA 024783924

    Phone: (617) 489-2573

    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.

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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 02478)

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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 1609843531.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Belmont, Massachusetts in the same public data insurers reference.
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.