Unknown Individual – Clinical Psychologist, NPI 1700898343

Unknown Individual is a healthcare provider. based in Beverly, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 5005 (MA). The NPI Number for Unknown Individual is 1700898343

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700898343
Phone
(978) 921-1190
Address
800 CUMMINGS CTR
Deactivation Date
23 August 2023
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

  • 800 Cummings Center, 800, Cummings Center, Rial Side, Beverly, Essex County, Massachusetts, 01915-4202, United States

    SUITE 266T

    BEVERLY, MA 019156175

    Phone: (978) 921-1190

    Fax: (978) 927-3724

    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.

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.

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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 01915)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1700898343 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Beverly, 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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100 CUMMINGS CTR STE 429K
NPI: 1508942988
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NPI: 1023187366