Unknown Individual – Psychologist, NPI 1194862979

Unknown Individual is a healthcare provider. based in Pawtucket, Rhode Island. specializing in Psychologist. They hold a License No. 2649 (MA). The NPI Number for Unknown Individual is 1194862979

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194862979
Phone
(401) 725-4732
Address
39 MAKIN STREET
Deactivation Date
1 June 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

Provider Addresses for Unknown Individual

  • 39, Makin Street, Darlington, Pawtucket, Providence County, Rhode Island, 02861, United States

    PAWTUCKET, RI 02861

    Phone: (401) 725-4732

    Fax: (781) 297-5263

    Type: Mailing

  • OMS STOUCHTON SCHOOL DEPARTMENT

    211 CUSHING STREET

    STOUCHTON, MA 02072

    Phone: (781) 344-7002

    Fax: (781) 297-5263

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 02861)

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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 1194862979.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Pawtucket, Rhode Island?
For routing, start with Pawtucket, Rhode Island for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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