Maria A Neizvestnaya, PSYD
Psychologist, Clinical in Fitchburg, Massachusetts
1063039121- Practice location
- Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420
- Phone
- 978-343-5270
- Fax
- —
- Last updated
- August 14, 2025
Maria A Neizvestnaya is a Psychologist, Clinical based in Fitchburg, MA. Maria A Neizvestnaya practices in Fitchburg, MA and has the professional credentials of PSYD. The NPI Number for Maria A Neizvestnaya is 1063039121 and holds a License No. PSY10000776 (MA). The current practice location address for Maria A Neizvestnaya is Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 and can be reached out via phone at 978-343-5270.
Provider Profile Details
- NPI Number
- 1063039121
- Provider Name
- Maria A Neizvestnaya
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420
- Phone Number
- 978-343-5270
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 6, 2020
- Last Update Date
- August 14, 2025
- Certification Date
- August 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Primary Care Behavioral Health
Fitchburg Family Medicine
Fitchburg, MA 01420 - City
- Fitchburg
- State
- Massachusetts
- Zip
- 01420
- Phone Number
- 978-343-5270
Provider Business Mailing Address Details
- Address
- Primary Care Behavioral Health
Fitchburg Family Medicine
Fitchburg, MA 01420 - City
- Fitchburg
- State
- MA
- Zip
- 01420
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- PSY10000776
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Fitchburg, MA
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Frequently Asked Questions
What is the NPI number of Maria A Neizvestnaya, PSYD?
The NPI number of Maria A Neizvestnaya, PSYD is 1063039121. It was assigned on July 6, 2020 and is currently active in the NPPES registry.
What is the specialty of Maria A Neizvestnaya, PSYD?
Maria A Neizvestnaya, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY10000776.
Where does Maria A Neizvestnaya, PSYD practice?
The practice location is Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420. The office can be reached at 978-343-5270 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063039121 directly on the NPPES registry website.