Unknown Individual – Psychologist, NPI 1326089533

Unknown Individual is a healthcare provider. based in Chestnut hill, Massachusetts. specializing in Psychologist. They hold a License No. 2262 (MA). The NPI Number for Unknown Individual is 1326089533

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1326089533
Phone
(508) 481-2930
Address
630 HAMMOND ST
Deactivation Date
17 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

  • 630, Hammond Street, South Brookline, Chestnut Hill, Brookline, Norfolk County, Massachusetts, 02445, United States

    UNIT 103

    CHESTNUT HILL, MA 024672346

    Phone: (508) 481-2930

    Type: Mailing

  • TD Bank, 133, East Main Street, Marlborough, Middlesex County, Massachusetts, 01752, United States

    MARLBOROUGH, MA 017522630

    Phone: (508) 481-2930

    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

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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 02467)

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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 1326089533 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Chestnut Hill, Massachusetts as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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