Unknown Individual – Psychiatry Physician, NPI 1164487476

Unknown Individual is a healthcare provider. based in Manchester, Connecticut. specializing in Psychiatry Physician. They hold a License No. 13813 (CT). The NPI Number for Unknown Individual is 1164487476

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164487476
Phone
(860) 533-3434
Address
150 N MAIN ST
Deactivation Date
2 October 2024
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

  • 150, Main Street, Manchester, Hillsborough County, New Hampshire, 03102, United States

    MANCHESTER, CT 060422003

    Phone: (860) 533-3434

    Fax: (860) 647-6829

    Type: Location

  • 1653, Main Street, East Windsor Hill, South Windsor, Capitol Planning Region, Connecticut, 06074, United States

    SOUTH WINDSOR, CT 060741008

    Phone: (860) 528-8303

    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)

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 06042)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1164487476.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Manchester, Connecticut?
For routing, start with Manchester, Connecticut for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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