Unknown Individual – Psychologist, NPI 1285659375

Unknown Individual is a healthcare provider. based in Brewer, Maine. specializing in Psychologist. They hold a License No. PS764 (ME). The NPI Number for Unknown Individual is 1285659375

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285659375
Phone
(207) 973-5035
Address
43 WHITING HILL RD
Deactivation Date
20 February 2025
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

  • Northern Light Health Home Office, 43, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States

    SUITE 300

    BREWER, ME 044121005

    Phone: (207) 973-5035

    Fax: (207) 973-5042

    Type: Mailing

  • 895, Union Street, Bangor, Penobscot County, Maine, 04401, United States

    SUITE 12

    BANGOR, ME 044013053

    Phone: (207) 973-7979

    Fax: (207) 947-9579

    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 04412)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1285659375.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Brewer, Maine in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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