Unknown Individual – Clinical Psychologist, NPI 1871534685

Unknown Individual is a healthcare provider. based in Andover, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 961102 (MA). The NPI Number for Unknown Individual is 1871534685

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871534685
Phone
(978) 688-0158
Address
3 DUNDEE PARK DR
Deactivation Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9786880158
Graduation Year
1971 (55 years ago)
PAC ID
4789697434
Professional Enrollment ID
I20060724000233
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

  • 3, Dundee Park, Andover, Essex County, Massachusetts, 01810, United States

    STE B05

    ANDOVER, MA 018103723

    Phone: (978) 688-0158

    Fax: (978) 352-6755

    Type: Location

  • 30, Sherwood Drive, North Andover, Essex County, Massachusetts, 01921, United States

    NORTH ANDOVER, MA 018453247

    Phone: (978) 688-0158

    Fax: (978) 775-5395

    Type: Mailing

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

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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)

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

Insurance plans in this area (ZIP 01810)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1871534685.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Andover, Massachusetts; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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