Unknown Individual – Clinical Psychologist, NPI 1104881853

Unknown Individual is a healthcare provider. based in Northampton, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 8078 (MA). The NPI Number for Unknown Individual is 1104881853

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104881853
Phone
(413) 265-5488
Address
9 CENTER CT
Deactivation Date
7 April 2021
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

  • 9, Center Court, Northampton, Hampshire County, Massachusetts, 01060, United States

    #5

    NORTHAMPTON, MA 010603006

    Phone: (413) 265-5488

    Type: Location

  • Northampton Post Office, 31;37, Bridge Street, Northampton, Hampshire County, Massachusetts, 01060, United States

    NORTHAMPTON, MA 010611113

    Phone:

    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

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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01060)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1104881853 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Northampton, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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