Active NPIOrganization

Pediatric Behavioral Health, LLC

Marriage & Family Therapist in West Boylston, Massachusetts

NPI Number1487779104
Practice location
148 Worcester St, West Boylston, MA 01583-1751
Fax
508-835-1736
Last updated
September 11, 2025

Pediatric Behavioral Health, LLC is a healthcare organization based in West Boylston, MA. Pediatric Behavioral Health, LLC practices in West Boylston, MA. The NPI Number for Pediatric Behavioral Health, LLC is 1487779104. The current practice location address for Pediatric Behavioral Health, LLC is 148 Worcester St, West Boylston, MA 01583-1751 and can be reached out via phone at 508-835-1735 and via fax at 508-835-1736.

Provider Profile Details

NPI Number
1487779104
Provider Name
Pediatric Behavioral Health, LLC
Provider Entity Type
Organization
Address
148 Worcester St, West Boylston, MA 01583-1751
Phone Number
508-835-1735
Fax Number
508-835-1736
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Organization Subpart
No
Authorized Official
Dr. Tracey Guertin, PHD, HSP · Clinical Director · 508-835-1735
Provider Enumeration Date
March 20, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
148 Worcester St
West Boylston, MA 01583-1751
Zip
01583-1751
Phone Number
508-835-1735
Fax Number
508-835-1736
West Boylston, MA 01583Get directions →

Provider Business Mailing Address Details

Address
148 Worcester St
West Boylston, MA 01583-1751
City
West Boylston
State
MA
Zip
01583-1751
Phone Number
508-835-1735
Fax Number
508-835-1736

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
Taxonomy (3)
Clinical Neuropsychologist · 103G00000X
Taxonomy (4)
Psychologist, Cognitive & Behavioral · 103TB0200X
Taxonomy (5)
Psychologist, Clinical · 103TC0700X
Taxonomy (6)
Psychologist, Counseling · 103TC1900X
Taxonomy (8)
Psychologist, Health Service · 103TH0100X
Taxonomy (9)
Psychologist, Group Psychotherapy · 103TP2701X
Taxonomy (10)
Social Worker, Clinical · 1041C0700X
Taxonomy (13)
Clinic/Center, Medical Specialty · 261QM2500X
Taxonomy (14)
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pediatric Behavioral Health, LLC?

The NPI number of Pediatric Behavioral Health, LLC is 1487779104. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Pediatric Behavioral Health, LLC?

Pediatric Behavioral Health, LLC is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X).

Where does Pediatric Behavioral Health, LLC practice?

The practice location is 148 Worcester St, West Boylston, MA 01583-1751. The office can be reached at 508-835-1735 (phone) or 508-835-1736 (fax).

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 1487779104 directly on the NPPES registry website.

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