Unknown Individual – Clinical Psychologist, NPI 1508942988

Unknown Individual is a healthcare provider. based in Beverly, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 290 (MA). The NPI Number for Unknown Individual is 1508942988

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508942988
Phone
(978) 927-6587
Address
100 CUMMINGS CTR STE 429K
Deactivation Date
18 September 2025
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

Provider Addresses for Unknown Individual

  • 100 CUMMINGS CTR STE 429K

    BEVERLY, MA 019156222

    Phone: (978) 927-6587

    Type: Location

  • 5, Dodge Road, West Town Landing, Marblehead, Essex County, Massachusetts, 01945, United States

    MARBLEHEAD, MA 019451405

    Phone: (978) 927-6587

    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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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 01915)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1508942988.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Beverly, Massachusetts because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1508942988. Always confirm identity and privileges with the practice and licensing boards.

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