Individual provider Active NPI

Pauline M. Pagliocca, PH.D.

  • Clinical Psychologist
  • Quincy, MA
National Provider Identifier
1487626123
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8057 Issued in MA
Practice address
1266 Furnace Brook Pkwy Ste 307
Quincy, MA 02169-4789
Phone
(617) 466-9006
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS2747 ME
Clinical Psychologist 103TC0700X 8057 MA Primary

Addresses

Primary practice location

1266 Furnace Brook Pkwy Ste 307
Quincy, MA 02169-4789

Mailing address

PO Box 320545
Boston, MA 02132-0010
Phone (617) 466-9006

Other identifiers 1

IdentifierTypeStateIssuer
W06248OtherMABLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310001387 MA Practitioner - Clinical Psychologist 0547159469 Practice locations: Quincy, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1266 Furnance Brook Pkwy
Suite 210
Quincy, MA 02169-4787
Phone (617) 833-8793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8057MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Wellness, LLC PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1487626123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320545",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021320010",
            "telephone_number": "617-466-9006",
            "fax_number": "617-830-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY STE 307",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694789",
            "telephone_number": "617-466-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIOCCA",
        "first_name": "PAULINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS2747",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W06248",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.