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DR. H SUZANNE MOON PHD
NPI 1104906114
Psychologist - Health Service in Weymouth, MA

Active since October 16, 2006PECOS Enrolled
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR, WEYMOUTH, MA 02189(781) 682-1060(781) 682-1061 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. H Suzanne Moon Phd NPPES

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

DR. H SUZANNE MOON PHD (NPI 1104906114) is an individual health service provider in Weymouth, Massachusetts, licensed in Massachusetts (7771) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104906114
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. H SUZANNE MOONCredential: PHD
Location Address169 LIBBEY INDUSTRIAL PKWY, 2ND FLOORWeymouth, MA 02189-3101
Mailing Address169 Libbey Industrial Pkwy, 2nd FloorWeymouth, MA 02189-3101 · (781) 682-1060 · Fax (781) 682-1061
Phone(781) 682-1060
Fax(781) 682-1061
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1104906114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in MA · 7771
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 7771 (MA)
169 LIBBEY INDUSTRIAL PKWY, Weymouth, MA 02189
Open in Google Maps ↗

Other Identifiers 3

OtherW06212MA · Bcbs Provider Number
Medicaid0502197MA
OtherA866565MD · Value Options Provider Nu

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. H Suzanne Moon Phd 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 Reassignment

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

H Suzanne Moon, Phd, PC
0.7 mi
Clinical
210 WINTER ST, SUITE 105
Weymouth, MA 02188
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1427350800 (781) 812-2294

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.

JOHN L JOSEPHS JR. MA
Counselor (Mental Health)
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR
WEYMOUTH, MA 02189
Norfolk County (781) 682-1060
KATHLEEN FRANCES COSGROVE
Social Worker (Clinical)
169 LIBBEY INDUSTRIAL PKWY
EAST WEYMOUTH, MA 02189
Norfolk County (508) 238-3481
DR. YANGMU XU PHD
Psychologist (Clinical)
169 LIBBEY INDUSTRIAL PKWY
WEYMOUTH, MA 02189
Norfolk County (781) 551-0999
CAROLINE BYRON
Psychologist
169 LIBBEY INDUSTRIAL PKWY
WEYMOUTH, MA 02189
Norfolk County (781) 551-0999
MS. VANESSA LOUISE CASAVANT MA
Psychologist (Clinical)
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR
WEYMOUTH, MA 02189
Norfolk County (781) 551-0999
NEUROBEHAVIORAL ASSOCIATES III, INC
Psychiatry & Neurology (Geriatric Psychiatry)
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR
WEYMOUTH, MA 02189
Norfolk County (781) 682-1060
KELSEY E GESSNER LICSW
Social Worker (Clinical)
169 LIBBEY INDUSTRIAL PKWY
WEYMOUTH, MA 02189
Norfolk County (781) 551-0999
DAVID BARBOSA PSYD
Psychologist (Clinical)
169 LIBBEY INDUSTRIAL PKWY
WEYMOUTH, MA 02189
Norfolk County (781) 551-0999

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 H Moon's NPI number?

The NPI number for H Moon is 1104906114. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is H Moon located?

H Moon practices at 169 Libbey Industrial Pkwy 2nd Floor, Weymouth, MA 02189. The listed phone number is (781) 682-1060.

What is H Moon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is H Moon enrolled in Medicare?

Yes. H Moon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for H Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), H Moon reassigns Medicare benefits to H Suzanne Moon, Phd, PC (Weymouth, 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 H Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for H Moon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.