Unknown Individual – Clinical Psychologist, NPI 1871651133

Unknown Individual is a healthcare provider. based in Gt barrington, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 8089 (MA). The NPI Number for Unknown Individual is 1871651133

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871651133
Phone
(413) 717-0365
Address
14 LAKE VIEW RD
Deactivation Date
24 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4134994090
Graduation Year
1997 (29 years ago)
PAC ID
5395738405
Group Practice PAC ID
2668454158
Professional Enrollment ID
I20040505000328
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 14 LAKE VIEW RD

    GT BARRINGTON, MA 01230

    Phone: (413) 717-0365

    Fax: (413) 499-1844

    Type: Mailing

  • 34, Depot Street, Pittsfield, Berkshire County, Massachusetts, 01201, United States

    STE 201

    PITTSFIELD, MA 01201

    Phone: (413) 499-4090

    Fax: (413) 499-1844

    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.

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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)

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 01230)

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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: 2668454158View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1871651133 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Gt Barrington, Massachusetts?
For routing, start with Gt Barrington, Massachusetts for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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