Unknown Individual – Psychiatry Physician, NPI 1619913464

Unknown Individual is a healthcare provider. based in Methuen, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 33541 (MA). The NPI Number for Unknown Individual is 1619913464

Main info

Organization
Inactive
68 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619913464
Phone
(978) 685-0400
Address
184 PLEASANT VALLEY ST
Deactivation Date
23 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9786850400
Graduation Year
1958 (68 years ago)
PAC ID
2961436241
Professional Enrollment ID
I20050926000831
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

  • 184, Pleasant Valley Street, Methuen, Essex County, Massachusetts, 01844, United States

    METHUEN, MA 01844

    Phone: (978) 685-0400

    Fax: (978) 686-2377

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-04-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-12

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.

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
99214Established patient office or other outpatient visit, 30-39 minutes14056$0
90833Psychotherapy with evaluation and management visit, 30 minutes11137$0
99212Established patient office or other outpatient visit, 10-19 minutes11037$0
View full utilization report →

Insurance plans in this area (ZIP 01844)

Loading plans...

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

What NPI should I save for Unknown Individual?
Save NPI 1619913464 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
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 shows for Unknown Individual?
We surface Methuen, Massachusetts for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

Holy Family Hospital, 70, East Street, Methuen, Essex County, Massachusetts, 01844, United States
NPI: 1629065123
Holy Family Hospital, 70, East Street, Methuen, Essex County, Massachusetts, 01844, United States
NPI: 1912172040

SANDRA DIAZ (DO)

Child & Adolescent Psychiatry Physician
100A HAVERHILL ST
NPI: 1730539602
15 Chardonnay Road
NPI: 1699328062