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

Individual provider Psychologist · NPI 1063709798

Paulina Fuentes Moad, PSYD is a Clinical Psychologist in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2011
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 92 Laconia St, Lexington, MA 02420-2230 — (617) 917-4050

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 11187 (MA)

Record details

NPI number1063709798
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 1, 2011
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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