Unknown Individual – Psychiatry Physician, NPI 1891786828

Unknown Individual is a healthcare provider. based in Natick, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 33464 (MA). The NPI Number for Unknown Individual is 1891786828

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891786828
Phone
(781) 772-1899
Address
154 E CENTRAL ST
Deactivation Date
4 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
7817721899
Graduation Year
1970 (56 years ago)
PAC ID
8426097197
Professional Enrollment ID
I20050502001056
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

  • 154, East Central Street, Natick, Middlesex County, Massachusetts, 01500, United States

    NATICK, MA 017603644

    Phone: (781) 772-1899

    Fax: (781) 772-1898

    Type: Location

  • Elderlife Solutions, 633;635, Washington Street, Wellesley, Norfolk County, Massachusetts, 02482, United States

    WELLESLEY, MA 024826415

    Phone: (781) 772-1899

    Fax: (781) 772-1898

    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

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 01760)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1891786828 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Natick, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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