Unknown Individual – Psychologist, NPI 1053420018

Unknown Individual is a healthcare provider. based in Andover, Massachusetts. specializing in Psychologist. They hold a License No. 263 (NH). The NPI Number for Unknown Individual is 1053420018

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053420018
Phone
(978) 764-0592
Address
PO BOX 3067
Deactivation Date
27 September 2024
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

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Provider Addresses for Unknown Individual

  • Andover Post Office, 211, North Andover Road, Prairie Village, Andover, Butler County, Kansas, 67002, United States

    ANDOVER, MA 018100802

    Phone: (978) 764-0592

    Fax: (603) 437-5588

    Type: Mailing

  • 35, Clark Road, Ballardvale, Andover, Essex County, Massachusetts, 01810, United States

    ANDOVER, MA 018105601

    Phone: (978) 764-0592

    Fax: (603) 437-5588

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 01810)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1053420018 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Andover, Massachusetts for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.