Mindful Roots Psychotherapy, LLC
Psychologist, Clinical in Charlton, Massachusetts
1306758305- Practice location
- 131 Burlingame RD, Charlton, MA 01507-5204
- Phone
- 508-581-3965
- Fax
- —
- Last updated
- September 22, 2026
Mindful Roots Psychotherapy, LLC is a healthcare organization based in Charlton, MA. Mindful Roots Psychotherapy, LLC practices in Charlton, MA. The NPI Number for Mindful Roots Psychotherapy, LLC is 1306758305. The current practice location address for Mindful Roots Psychotherapy, LLC is 131 Burlingame RD, Charlton, MA 01507-5204 and can be reached out via phone at 508-581-3965.
Provider Profile Details
- NPI Number
- 1306758305
- Provider Name
- Mindful Roots Psychotherapy, LLC
- Provider Entity Type
- Organization
- Address
- 131 Burlingame RD, Charlton, MA 01507-5204
- Phone Number
- 508-581-3965
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Ryan Davidson, PHD · Owner · 508-581-3956
- Provider Enumeration Date
- September 22, 2026
- Last Update Date
- September 22, 2026
- Certification Date
- September 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Burlingame RD
Charlton, MA 01507-5204 - City
- Charlton
- State
- Massachusetts
- Zip
- 01507-5204
- Phone Number
- 508-581-3965
Provider Business Mailing Address Details
- Address
- 120 Charlton RD Ste 2
Sturbridge, MA 01566-1564 - City
- Sturbridge
- State
- MA
- Zip
- 01566-1564
- Phone Number
- 508-581-3965
License Information
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Charlton, MA
View all Psychologist, Clinical providers in Charlton →- Kolbe Heroux, AUDAudiologist · NPI 1629400619
- Marissa J HotzDevelopmental Therapist · NPI 1548167810
- Town Of CharltonAmbulance, Land Transport · NPI 1851388136
- Ada N Duruh-NubuorRegistered Nurse, Home Health · NPI 1306743620
- Miss Amy E Deluca, FNP-BCNurse Practitioner, Family · NPI 1952888398
- Amma Boaa AsareNurse Practitioner, Psych/Mental Health · NPI 1497672729
Frequently Asked Questions
What is the NPI number of Mindful Roots Psychotherapy, LLC?
The NPI number of Mindful Roots Psychotherapy, LLC is 1306758305. It was assigned on September 22, 2026 and is currently active in the NPPES registry.
What is the specialty of Mindful Roots Psychotherapy, LLC?
Mindful Roots Psychotherapy, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Mindful Roots Psychotherapy, LLC practice?
The practice location is 131 Burlingame RD, Charlton, MA 01507-5204. The office can be reached at 508-581-3965 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306758305 directly on the NPPES registry website.