Unknown Individual – Clinical Psychologist, NPI 1801985288

Unknown Individual is a healthcare provider. based in North quincy, Massachusetts. specializing in Clinical Psychologist. They hold a License No. 5071 (MA). The NPI Number for Unknown Individual is 1801985288

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801985288
Phone
(617) 953-4106
Address
2 HANCOCK ST
Deactivation Date
20 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:0State licenses:5Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Neponset Landing, 2, Hancock Street, North Quincy, Quincy, Norfolk County, Massachusetts, 02171, United States

    APT 721

    NORTH QUINCY, MA 021711766

    Phone: (617) 953-4106

    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.

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 02171)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Psychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED CLINICAL NURSE SPECIALISTMA90836Psychotherapy, 45 minutes with patient and/or family member13216

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1801985288.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on North Quincy, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.