Unknown Individual – Psychologist, NPI 1821170135

Unknown Individual is a healthcare provider. based in Brookline, Massachusetts. specializing in Psychologist. They hold a License No. 6975 (MA). The NPI Number for Unknown Individual is 1821170135

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821170135
Phone
(617) 232-0687
Address
1269 BEACON ST
Deactivation Date
11 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1269, Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States

    BROOKLINE, MA 024465248

    Phone: (617) 232-0687

    Fax: (172) 321-2806

    Type: Mailing

  • 21 Cedar Street

    Worcester, MA 01609

    Phone: (508) 799-2663

    Fax: (508) 753-9779

    Type: Location

  • 380 Massachusetts Ave

    Acton, MA 017203743

    Phone: (978) 264-3500

    Fax: (978) 263-3088

    Type: Location

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 ·

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 02446)

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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 1821170135 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Brookline?
Public fields place Unknown Individual around Brookline, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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