Unknown Individual – Psychologist, NPI 1902896574

Unknown Individual is a healthcare provider. based in Belmont, Massachusetts. specializing in Psychologist. They hold a License No. 708 (MA). The NPI Number for Unknown Individual is 1902896574

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902896574
Phone
(617) 484-1179
Address
42 CRESTVIEW RD.
Deactivation Date
6 November 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

Provider Addresses for Unknown Individual

  • 42, Crestview Road, Belmont, Middlesex County, Massachusetts, 02476, United States

    BELMONT, MA 024782108

    Phone: (617) 484-1179

    Fax: (617) 489-5783

    Type: Mailing

  • 67 LEONARD ST STE 2

    BELMONT, MA 024782523

    Phone: (617) 484-1179

    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

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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 02478)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1902896574.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Belmont, Massachusetts?
For routing, start with Belmont, 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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