Unknown Individual – Psychiatry Physician, NPI 1316068562

Unknown Individual is a healthcare provider. based in Woonsocket, Rhode Island. specializing in Psychiatry Physician. They hold a License No. MD07715 (RI). The NPI Number for Unknown Individual is 1316068562

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316068562
Phone
(401) 235-7000
Address
55 CUMMINGS WAY
Deactivation Date
18 September 2024

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
4018687390
Graduation Year
1982 (44 years ago)
PAC ID
4688685407
Group Practice PAC ID
5193627982
Professional Enrollment ID
I20140130000006
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 55 CUMMINGS WAY

    NRI COMMUNITY SERVICES INC.

    WOONSOCKET, RI 028953247

    Phone: (401) 235-7000

    Type: Location

  • 386 STANLEY ST

    FALL RIVER, MA 027206009

    Phone: (508) 679-5222

    Fax: (508) 673-3182

    Type: Location

  • 55 Cummings Way

    NRI Community Services Inc.

    Woonsocket, RI 028953247

    Phone: (401) 235-7000

    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.

This can happen when there are no reportable CMS Open Payments records.

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 02895)

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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: 5193627982View full group profile
NameSpecialtyState
Clinical Social WorkerRI
Clinical Social WorkerRI
Mental Health CounselorRI
Certified Clinical Nurse Specialist (Cns)RI
-RI
Nurse PractitionerRI
-RI
Clinical Social WorkerRI
Clinical Social WorkerRI
Clinical Social WorkerRI

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1316068562 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Woonsocket, Rhode Island; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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