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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MINDFUL ROOTS PSYCHOTHERAPY, LLC
NPI 1306758305
Psychologist - Clinical in Charlton, MA

Active since September 22, 2026
131 BURLINGAME RD, CHARLTON, MA 01507(508) 581-3965 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mindful Roots Psychotherapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL ROOTS PSYCHOTHERAPY, LLC (NPI 1306758305) is a healthcare organization registered as a clinical in Charlton, Massachusetts and active in the NPI registry since September 2026. The organization lists Ryan Davidson, Owner, as its authorized official.

NPPES Registry Identity

NPI1306758305
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMINDFUL ROOTS PSYCHOTHERAPY, LLC
Location Address131 BURLINGAME RDCharlton, MA 01507-5204
Mailing Address120 Charlton Rd Ste 2Sturbridge, MA 01566-1564 · (508) 581-3965
Phone(508) 581-3965
Organization SubpartNo
Authorized OfficialRyan DavidsonOwner · (508) 581-3956
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1306758305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
131 BURLINGAME RD, Charlton, MA 01507
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Roots Psychotherapy, LLC's NPI number?

The NPI number for Mindful Roots Psychotherapy, LLC is 1306758305. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Mindful Roots Psychotherapy, LLC located?

Mindful Roots Psychotherapy, LLC is located at 131 Burlingame Rd, Charlton, MA 01507. The listed phone number is (508) 581-3965.

What is Mindful Roots Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mindful Roots Psychotherapy, LLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.