Active NPI
H Suzanne Moon, PHD
- Health Service Psychologist
- Weymouth, MA
National Provider Identifier
1104906114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 7771
- Practice address
- 169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101 - Phone
- (781) 682-1060
- Fax
- (781) 682-1061
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7771 | MA | |
| Health Service Psychologist | 103TH0100X | 7771 | MA | Primary |
Addresses
Primary practice location
169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101
Mailing address
169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101
Phone (781) 682-1060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W06212 | Other | MA | BCBS PROVIDER NUMBER |
| 0502197 | Medicaid | MA | |
| A866565 | Other | MD | VALUE OPTIONS PROVIDER NU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051003000740 | MA | Practitioner - Clinical Psychologist | 0446285068 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7771 | MA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H Suzanne Moon, PHD, PC | Clinical | Current | Accepting new patients |
| Pinnacle Health Management, LLP | Past | Accepting new patients | |
| Golden Insight Inc | Past | Accepting new patients | |
| Neurobehavioral Associates III, Inc | Clinical | Past | Accepting new patients |
Locations
210 Winter St
Ste 105
Weymouth, MA 02188
Phone (617) 312-7818
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hanover, MA
- NPI 1235711839
-
- Geriatric Psychiatry Physician
- Weymouth, MA
- NPI 1205926946
Clinical
-
- Geriatric Psychiatry Physician
- Hanover, MA
- NPI 1952319733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1104906114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 LIBBEY INDUSTRIAL PKWY",
"address_2": "2ND FLOOR",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893101",
"telephone_number": "781-682-1060",
"fax_number": "781-682-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 LIBBEY INDUSTRIAL PKWY",
"address_2": "2ND FLOOR",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893101",
"telephone_number": "781-682-1060",
"fax_number": "781-682-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "H",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7771",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "7771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "W06212",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0502197",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER NU",
"identifier": "A866565",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.