Unknown Individual – Psychologist, NPI 1861567638

Unknown Individual is a healthcare provider. based in Springfield, Massachusetts. specializing in Psychologist. They hold a License No. 3304 (MA). The NPI Number for Unknown Individual is 1861567638

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861567638
Phone
(413) 734-3331
Address
155 MAPLE STREET
Deactivation Date
26 July 2024
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

  • 155, Maple Street, Ames Hill-Crescent Hill Historic District, South End, McKnight, Springfield, Hampden County, Massachusetts, 01105, United States

    SUITE 203

    SPRINGFIELD, MA 011051828

    Phone: (413) 734-3331

    Fax: (413) 739-1652

    Type: Location

  • 132, Prynnwood Road, Longmeadow, Hampden County, Massachusetts, 01106, United States

    LONGMEADOW, MA 011062722

    Phone: (413) 567-4232

    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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01105)

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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 1861567638.
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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Springfield, Massachusetts in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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