Unknown Individual – Clinical Psychologist, NPI 1669819876

Clinical Psychologist

Unknown Individual is a healthcare provider. based in Marshfield, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 2596 (MA). The NPI Number for Unknown Individual is 1669819876

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1669819876

Phone

(781) 837-1001

Address

212 HIGHLAND ST

Deactivation Date

12 December 2024

Data current as of

20 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

212 HIGHLAND ST
MARSHFIELD, MA 020506217
Phone: (781) 837-1001
Type: Mailing
529 PEARL ST
BROCKTON, MA 023012825
Phone: (508) 580-2211
Type: Location

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 02050)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1669819876.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Marshfield, Massachusetts in the data we show; additional addresses may exist on the full record.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."