Unknown Individual – Psychologist, NPI 1912145384

Unknown Individual is a healthcare provider. based in Brookline, Massachusetts. specializing in Psychologist. They hold a License No. 973-P (MA). The NPI Number for Unknown Individual is 1912145384

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912145384
Phone
(617) 566-5790
Address
114 CLINTON RD.
Deactivation Date
3 March 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 114, Clinton Road, Fisher Hill, North Brookline, Chestnut Hill, Brookline, Norfolk County, Massachusetts, 02445, United States

    BROOKLINE, MA 02405

    Phone: (617) 566-5790

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 02405)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1912145384.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychologist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Brookline, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

30, Cimino Road, Needham Heights, Needham, Norfolk County, Massachusetts, 02494, United States
NPI: 1508866070
1180, Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1205836673

DR. MICHELLE L. IMBER (PH.D.)

Clinical Neuropsychologist
PO BOX 1927
NPI: 1346241932
22 PALMER RD
NPI: 1922091750
1101, Beacon Street, Brookline, Norfolk County, Massachusetts, 02215, United States
NPI: 1508856246
1691, Beacon Street, Beaconsfield, Brookline, Norfolk County, Massachusetts, 02445-5841, United States
NPI: 1730179474
Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom
NPI: 1710968508
Brookline Bank, 1330, Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1982687380
1678, Beacon Street, Washington Square, North Brookline, Brookline, Norfolk County, Massachusetts, 02445, United States
NPI: 1649256405