Elisabeth Moes, PH.D., ABPP/ABCN

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3569 Issued in MA

Practice address

1180 Beacon St
Suite 2D
Brookline, MA 02446-3885

Phone

(617) 232-6305

Fax

(617) 739-7111

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: moes.elisabeth.mcl@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The McLean Hospital Corporation

  dba McLean Professional Practice Group

  • Psychiatry Physician
  • Belmont, MA
  • NPI 1114979580
  NPD
• Michael P. Biber, M.D., P.C.

  • Neurology Physician
  • Brookline, MA
  • NPI 1235308289
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1972687440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304414",
            "telephone_number": "617-522-7061",
            "fax_number": "617-739-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE 2D",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-232-6305",
            "fax_number": "617-739-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOES",
        "first_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP/ABCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Himal Mitra, M.D.
• Nina Strauss Mitra, PH.D.
• Hannah Mittman, DPT
• Modern Dental Associates, LLC
• Suzanne Modigliani, LICSW
• Mara Moffie, A.T.C., NASM-PES
• Daniel S Mollod, M.D.
• Molly Schofield, LLC
• Emma Monos
• Susan Elizabeth Montgomery, MA LMHC

• Clinical Neuropsychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.

Verify at the official NPI Registry.