Unknown Individual – Psychiatry Physician, NPI 1548217334

Unknown Individual is a healthcare provider. based in Newtonville, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 23091 (MA). The NPI Number for Unknown Individual is 1548217334

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548217334
Phone
(617) 965-5270
Address
82 KIRKSTALL RD
Deactivation Date
18 February 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

  • 82, Kirkstall Road, Nonantum, Newtonville, Newton, Middlesex County, Massachusetts, 02460, United States

    NEWTONVILLE, MA 024602246

    Phone: (617) 965-5270

    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.

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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)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Insurance plans in this area (ZIP 02460)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1548217334; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
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 Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Newtonville, Massachusetts for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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