Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1619906815

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 166772 (MA). The NPI Number for Unknown Individual is 1619906815

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619906815
Phone
(617) 626-6953
Address
25 STANIFORD ST
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

  • 25, Staniford Street, Downtown Crossing, West End, Boston, Suffolk County, Massachusetts, 02114, United States

    COMMONWEALTH OF MASS-ERICH LINDEMANN MHC

    BOSTON, MA 021142503

    Phone: (617) 626-6953

    Fax: (617) 305-9958

    Type: Location

  • 97, Mount Vernon Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02108, United States

    BOSTON, MA 021081219

    Phone: (617) 304-7078

    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

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.

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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 02114)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1619906815 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Boston, Massachusetts for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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