ELIZABETH MODDE
NPI 1053985051
Psychiatry & Neurology - Child & Adolescent Psychiatry in Boston, MA

Active since May 14, 2021PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 31, 2021, May 14, 2021 (2 updates tracked since 2021).

About Elizabeth Modde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MODDE (NPI 1053985051) is an individual child & adolescent psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (1027658) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2021).

NPPES Registry Identity

NPI1053985051
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameELIZABETH MODDE
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2021
Enumeration DateMay 14, 2021
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1053985051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MA · 1027658
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 1027658 (MA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 1027658 (MA)
300 LONGWOOD AVE, Boston, MA 02115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Modde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547679839
PECOS Enrollment IDI20260803000005
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Modde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child & Adolescent Psychiatry
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Modde's NPI number?

The NPI number for Elizabeth Modde is 1053985051. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Elizabeth Modde located?

Elizabeth Modde practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Elizabeth Modde's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Elizabeth Modde enrolled in Medicare?

Yes. Elizabeth Modde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Modde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Modde reassigns Medicare benefits to Richmond Psychiatry Group Practice (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Modde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Modde accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Elizabeth Modde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Modde was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.