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Deactivated NPI 1407420490 Deactivated / Inactive NPI Male Practitioner

Michael T Watkins

Peer Specialist • Lowell, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Watkins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 14, 2021
NPI Deactivation Date July 23, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Michael Watkins was a registered Peer Specialist practicing in Lowell, MA. Throughout an active medical career spanning 5 years, Michael Watkins provided care at the practice location at 22 BOWERS ST APT 610 until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

22 Bowers St Apt 610

Lowell, MA 018543581

Telephone 9787715575

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lowell, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Lowell, MA (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License MA 201574

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

NPI Profile Active May 14, 2021

NPI status registered as active in NPPES database

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Updated Practice Location May 14, 2021

Registered at 22 BOWERS ST APT 610, LOWELL, MA 018543581 (Tel: 9787715575)

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Updated Business Mailing Address May 14, 2021

Registered at 6225 SMITH AVE STE 1001A, BALTIMORE, MD 212093626

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Provider Name / Credentials Updated May 14, 2021

Recorded as MICHAEL WATKINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2021

Peer Specialist (License #201574 in MA)

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Initial NPI Registration & Enumeration May 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407420490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2021
Last Update: May 14, 2021
Deactivation Date: July 23, 2026

Mailing Address

6225 Smith Ave Ste 1001a

Baltimore, MD 212093626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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