PAULINA FUENTES MOAD PSY.D.
NPI 1063709798
Psychologist in Boston, MA

Active since July 01, 2011PECOS Enrolled

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2022, Jun 2, 2020 (2 updates tracked since 2020).

About Paulina Fuentes Moad Psy.d. NPPES

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

PAULINA FUENTES MOAD PSY.D. (NPI 1063709798) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (11187) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1063709798
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePAULINA FUENTES MOADCredential: PSY.D.
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address92 Laconia StLexington, MA 02420-2230
Sole ProprietorYes
Enumeration DateJuly 1, 2011
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1063709798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MA · 11187
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 192 Laconia StLexington, MA 02420-2230 · Phone (617) 917-4050

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)

Paulina Fuentes Moad Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Paulina Fuentes Moad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Paulina Fuentes Moad's NPI number?

The NPI number for Paulina Fuentes Moad is 1063709798. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Paulina Fuentes Moad located?

Paulina Fuentes Moad practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-8200.

What is Paulina Fuentes Moad's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Paulina Fuentes Moad enrolled in Medicare?

Yes. Paulina Fuentes Moad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paulina Fuentes Moad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paulina Fuentes Moad reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). Each 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 Paulina Fuentes Moad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paulina Fuentes Moad accept?

Health plans from Harvard Pilgrim Health Care, Taro Health, UnitedHealthcare and WellSense Health Plan list Paulina Fuentes Moad 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 Paulina Fuentes Moad was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.