Unknown Individual – Psychologist, NPI 1205199841

Unknown Individual is a healthcare provider. based in Portland, Maine. specializing in Psychologist. They hold a License No. 1334 (ME). The NPI Number for Unknown Individual is 1205199841

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205199841
Phone
(207) 773-2828
Address
251 WOODFORD ST
Deactivation Date
17 April 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 251 WOODFORD ST

    PORTLAND, ME 041035617

    Phone: (207) 773-2828

    Fax: (207) 761-8150

    Type: Mailing

  • 33 MONTROSE AVE

    PORTLAND, ME 041032442

    Phone: (508) 284-1210

    Type: Mailing

  • 41 DONALD B DEAN DR

    SOUTH PORTLAND, ME 041063252

    Phone: (207) 661-6064

    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

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 04103)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1205199841 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Portland?
Public fields place Unknown Individual around Portland, Maine. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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