Organization · Type 2 NPI

Mindful Roots Psychotherapy, LLC

Clinical Psychologist · Charlton, MA

NPI number 1306758305 Active

Practice location

131 Burlingame Rd
Charlton, MA 01507-5204

Mailing address

120 Charlton Rd Ste 2
Sturbridge, MA 01566-1564

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

About NPI 1306758305

Mindful Roots Psychotherapy, LLC's National Provider Identifier is 1306758305, issued on Sep 22, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlton, MA. The record was last updated on Sep 22, 2026.