Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1891865606

Unknown Individual is a healthcare provider. based in Wellesley, Massachusetts. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 111854 (MA). The NPI Number for Unknown Individual is 1891865606

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891865606
Phone
(781) 431-8861
Address
27 MICA LN
Deactivation Date
17 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

  • 27, Mica Lane, Wellesley Lower Falls, Wellesley, Norfolk County, Massachusetts, 02462, United States

    WELLESLEY, MA 024811724

    Phone: (781) 431-8861

    Fax: (617) 327-8570

    Type: Location

  • 5, Schirmer Road, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States

    WEST ROXBURY, MA 021321112

    Phone: (617) 325-8940

    Fax: (617) 327-8570

    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.

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 02481)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1891865606 as the unique 10-digit identifier.
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 Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Wellesley, Massachusetts as the headline location for Unknown Individual here.
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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