Organization · Type 2 NPI

Pediatric Behavioral Health, LLC

Marriage & Family Therapist · West Boylston, MA

NPI number 1487779104 Active

Practice location

148 Worcester St
West Boylston, MA 01583-1751

Fax (508) 835-1736

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Neuropsychologist 103G00000XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Clinical Psychologist 103TC0700XNone listed
Counseling Psychologist 103TC1900XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Health Service Psychologist 103TH0100XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist Primary 106H00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed

Marriage & Family Therapist: 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 ment…

24 other providers at this address

About NPI 1487779104

Pediatric Behavioral Health, LLC's National Provider Identifier is 1487779104, issued on Mar 20, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in West Boylston, MA. The record was last updated on Sep 11, 2025.