PEDIATRIC BEHAVIORAL HEALTH LLC NPI 1487779104

NPI Information

  • NPI: 1487779104
  • Provider Name: PEDIATRIC BEHAVIORAL HEALTH, LLC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 148 WORCESTER ST
    WEST BOYLSTON, MA
    ZIP 01583
  • Phone: (508) 835-1735

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NPI Details

PEDIATRIC BEHAVIORAL HEALTH, LLC is a marriage family therapist in West Boylston, MA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. PEDIATRIC BEHAVIORAL HEALTH, LLC NPI is 1487779104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

148 WORCESTER ST
WEST BOYLSTON, MA
ZIP 01583-751
Phone: (508) 835-1735
Fax: (508) 835-1736

The provider's authorized official is Tracey Guertin .
The authorized official title is Clinical Director and has the following contact phone number (508) 835-1735.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3103G00000XClinical NeuropsychologistNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TC0700XPsychologistClinicalNo
6103TC1900XPsychologistCounselingNo
7103TC2200XPsychologistClinical Child & AdolescentNo
8103TH0100XPsychologistHealth ServiceNo
9103TP2701XPsychologistGroup PsychotherapyNo
101041C0700XSocial WorkerClinicalNo
11261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
12261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
13261QM2500XClinic/CenterMedical SpecialtyNo
14106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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