Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1811087984

Unknown Individual is a healthcare provider. based in Dedham, Massachusetts. specializing in Clinical Child & Adolescent Psychologist. They hold a License No. 4119 (MA). The NPI Number for Unknown Individual is 1811087984

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811087984
Phone
(781) 431-1333
Address
910 WASHINGTON ST
Deactivation Date
1 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 910, Washington Street, Dedham, Norfolk County, Massachusetts, 02090-1444, United States

    DEDHAM, MA 020266022

    Phone: (781) 431-1333

    Fax: (781) 431-1933

    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.

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Medicare Enrollment & Revalidation

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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 02026)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1811087984.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Child & Adolescent Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Dedham, Massachusetts?
For routing, start with Dedham, Massachusetts for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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