Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Patricia Rose Moore, PSYDINACTIVERNMTC

Individual provider Clinical Psychologist · NPI 1649337213

MS. Patricia Rose Moore, PSYDINACTIVERNMTC is a Clinical Psychologist in Arlington, Massachusetts. Qualified in 1984, 42 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Vermont.

Years since qualifying
42
Licensed in
MA, VT
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

393 Mass Ave
Arlington, MA 02474
Phone: (781) 929-3377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 7606 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 374 (VT)

Record details

NPI number1649337213
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYDINACTIVERNMTC
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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