Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1720150766

Unknown Individual is a healthcare provider. based in Arlington, Massachusetts. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. 1219 (MA). The NPI Number for Unknown Individual is 1720150766

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720150766
Phone
(781) 643-2426
Address
94 PLEASANT ST
Deactivation Date
9 January 2025
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

  • The Professional Building at 94 Pleasant, 94, Pleasant Street, Arlington, Middlesex County, Massachusetts, 02476, United States

    ARLINGTON, MA 024766535

    Phone: (781) 643-2426

    Fax: (781) 862-6739

    Type: Location

  • 10, Tyler Road, Countryside, Lexington, Middlesex County, Massachusetts, 02420, United States

    LEXINGTON, MA 024202404

    Phone: (781) 862-6739

    Fax: (781) 862-6739

    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 02476)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1720150766.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Child & Adolescent Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Arlington, Massachusetts in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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