Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1295834216

Unknown Individual is a healthcare provider. based in Sudbury, Massachusetts. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. 025497 (MA). The NPI Number for Unknown Individual is 1295834216

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295834216
Phone
(978) 443-3984
Address
270 OLD LANCASTER RD
Deactivation Date
24 January 2022
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

  • 270, Old Lancaster Road, Musketahquid Village, Sudbury, Middlesex County, Massachusetts, 01776, United States

    SUDBURY, MA 017762214

    Phone: (978) 443-3984

    Fax: (978) 443-5646

    Mailing address matches the actual address.

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 01776)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1295834216.
Does inactive mean outdated data for Unknown Individual?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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Sudbury, Massachusetts in registry-derived data.
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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