Unknown Individual – Psychiatry Physician, NPI 1609972496

Unknown Individual is a healthcare provider. based in Haverhill, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 28153 (MA). The NPI Number for Unknown Individual is 1609972496

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609972496
Phone
(978) 372-0240
Address
10-12 PHOENIX ROW
Deactivation Date
17 June 2021
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

  • Phoenix Row, Bradford Common Historic District, Haverhill, Essex County, Massachusetts, 01835, United States

    HAVERHILL, MA 018325734

    Phone: (978) 372-0240

    Fax: (978) 372-8749

    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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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 ·

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

Insurance plans in this area (ZIP 01832)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1609972496?
NPI 1609972496 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Haverhill, Massachusetts as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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