DR. ELISABETH MOES (PH.D., ABPP/ABCN) – Clinical Neuropsychologist, NPI 1972687440

DR. ELISABETH MOES (PH.D., ABPP/ABCN) is a healthcare provider. based in Brookline, Massachusetts. specializing in Clinical Neuropsychologist. They hold the professional credentials PH.D., ABPP/ABCN. They hold a License No. 3569 (MA). The NPI Number for DR. ELISABETH MOES (PH.D., ABPP/ABCN) is 1972687440

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELISABETH MOES (PH.D., ABPP/ABCN)
NPI
1972687440
Phone
(617) 232-6305
Address
1180 BEACON ST
Enumeration Date
24 October 2006
Last Update Date
6 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178552183
Graduation Year
1983 (43 years ago)
PAC ID
9638390297
Group Practice PAC ID
9436040961
Professional Enrollment ID
I20141023000788
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ELISABETH MOES (PH.D., ABPP/ABCN)

  • 1180, Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States

    SUITE 2D

    BROOKLINE, MA 024463885

    Phone: (617) 232-6305

    Fax: (617) 739-7111

    Type: Location

  • 280, Chestnut Avenue, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    JAMAICA PLAIN, MA 021304414

    Phone: (617) 522-7061

    Fax: (617) 739-7111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141023000788IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02446)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436040961View full group profile
NameSpecialtyState
-MA
Clinical Social WorkerMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical Social WorkerMA
-MA
Psychiatry, Geriatric PsychiatryMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistRI

Reviews

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Frequently asked questions

What identifier follows DR. ELISABETH MOES (PH.D., ABPP/ABCN) across health systems?
The NPI 1972687440 uniquely identifies DR. ELISABETH MOES (PH.D., ABPP/ABCN) in U.S. healthcare data.
Is DR. ELISABETH MOES (PH.D., ABPP/ABCN) currently accepting referrals based on NPI status?
Registry metadata lists DR. ELISABETH MOES (PH.D., ABPP/ABCN) as active.
What type of care does DR. ELISABETH MOES (PH.D., ABPP/ABCN) provide?
DR. ELISABETH MOES (PH.D., ABPP/ABCN)'s profile centers on Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ELISABETH MOES (PH.D., ABPP/ABCN)?
DR. ELISABETH MOES (PH.D., ABPP/ABCN) is associated with Brookline, Massachusetts in the same public data insurers reference.
Can I export DR. ELISABETH MOES (PH.D., ABPP/ABCN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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