Unknown Individual – Psychiatry Physician, NPI 1902882368

Unknown Individual is a healthcare provider. based in Milton village, Massachusetts. specializing in Psychiatry Physician. They hold a License No. 38049 (MA). The NPI Number for Unknown Individual is 1902882368

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902882368
Phone
(617) 433-1425
Address
PO BOX 870179
Deactivation Date
16 January 2025
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

  • PO BOX 870179

    MILTON VILLAGE, MA 021870179

    Phone: (617) 433-1425

    Fax: (617) 696-7012

    Type: Mailing

  • 88, Wharf Street, Milton Village, Milton, Norfolk County, Massachusetts, 02124, United States

    MILTON, MA 021863429

    Phone: (617) 433-1425

    Fax: (617) 696-7012

    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.

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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)

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 02187)

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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 1902882368 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Milton Village, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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