Unknown Individual – Psychologist, NPI 1508914946

Unknown Individual is a healthcare provider. based in Watertown, Massachusetts. specializing in Psychologist. They hold a License No. 2687 (MA). The NPI Number for Unknown Individual is 1508914946

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508914946
Phone
(617) 924-6517
Address
26 WINSOR AVE
Deactivation Date
27 June 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

  • 26, Winsor Avenue, East Watertown, Watertown, Middlesex County, Massachusetts, 20478, United States

    WATERTOWN, MA 024721460

    Phone: (617) 924-6517

    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 02472)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1508914946 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.
What kind of provider is Unknown Individual?
The page reflects Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Watertown, Massachusetts for Unknown Individual; download NPPES for the complete set.
What if Watertown, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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