Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1750470894

Unknown Individual is a healthcare provider. based in Longmeadow, Massachusetts. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. R36414 (CT). The NPI Number for Unknown Individual is 1750470894

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1750470894
Phone
(413) 565-5171
Address
167 DWIGHT RD
Deactivation Date
23 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 167, Dwight Road, Longmeadow, Hampden County, Massachusetts, 01106, United States

    SUITE 208

    LONGMEADOW, MA 011061752

    Phone: (413) 565-5171

    Fax: (413) 565-5185

    Type: Location

  • 6, Bronson Terrace, The X, Forest Park, Springfield, Hampden County, Massachusetts, 01108, United States

    SPRINGFIELD, MA 011082625

    Phone: (413) 781-6658

    Fax: (412) 567-6951

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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 01106)

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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 1750470894.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Longmeadow, Massachusetts; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.