Unknown Individual – Psychiatry Physician, NPI 1457320392

Unknown Individual is a healthcare provider. based in West roxbury, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 36292 (MA). The NPI Number for Unknown Individual is 1457320392

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457320392
Phone
(617) 325-6700
Address
2020 CENTRE ST
Deactivation Date
20 December 2023
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

  • 2020, Centre Street, Highland, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States

    WEST ROXBURY, MA 021323316

    Phone: (617) 325-6700

    Fax: (617) 325-6581

    Type: Location

  • 70, Park Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States

    APARTMENT 72

    BROOKLINE, MA 024466345

    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

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 02132)

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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 1457320392.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in West Roxbury, Massachusetts?
For routing, start with West Roxbury, Massachusetts for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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