PEDIATRIC BEHAVIORAL HEALTH, LLC
NPI 1487779104
Marriage & Family Therapist in West Boylston, MA

NPI Status: Active since March 20, 2007

Contact Information

148 WORCESTER ST
WEST BOYLSTON, MA
ZIP 01583
Phone: (508) 835-1735
Fax: (508) 835-1736

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Marriage & Family Therapist
Accepts Insurance

About PEDIATRIC BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Behavioral Health, Llc, a provider established in West Boylston, Massachusetts operating as a Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1487779104 assigned on March 2007. The practitioner's primary taxonomy code is 106H00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Pediatric Behavioral Health, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Tracey Guertin Ph.d., H.s.p. (Clinical Director)

NPI: 1487779104
Provider Name: PEDIATRIC BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Location Address: 148 WORCESTER ST WEST BOYLSTON, MA 01583
Location Phone: (508) 835-1735
Location Fax: (508) 835-1736
Mailing Address: 148 WORCESTER ST WEST BOYLSTON, MA 01583
Mailing Phone: (508) 835-1735
Mailing Fax: (508) 835-1736
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-20-2007
Last Update Date: 09-11-2025
Code Navigator

A marriage and family therapist like Pediatric Behavioral Health, Llc help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Marriage & Family Therapist
Taxonomy Code: 106H00000X
Type: Behavioral Health & Social Service Providers
Taxonomy Description: 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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	101Y00000X	Behavioral Health & Social Service Providers	Counselor
2	101YM0800X	Behavioral Health & Social Service Providers	Counselor Mental Health
3	103G00000X	Behavioral Health & Social Service Providers	Clinical Neuropsychologist
4	103TB0200X	Behavioral Health & Social Service Providers	Psychologist Cognitive & Behavioral
5	103TC0700X	Behavioral Health & Social Service Providers	Psychologist Clinical
6	103TC1900X	Behavioral Health & Social Service Providers	Psychologist Counseling
7	103TC2200X	Behavioral Health & Social Service Providers	Psychologist Clinical Child & Adolescent
8	103TH0100X	Behavioral Health & Social Service Providers	Psychologist Health Service
9	103TP2701X	Behavioral Health & Social Service Providers	Psychologist Group Psychotherapy
10	1041C0700X	Behavioral Health & Social Service Providers	Social Worker Clinical
11	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center Mental Health (Including Community Mental Health Center)
12	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center Adolescent and Children Mental Health
13	261QM2500X	Ambulatory Health Care Facilities	Clinic/Center Medical Specialty

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. TRACEY GUERTIN PH.D., H.S.P.
Authorized Official Title: CLINICAL DIRECTOR
Authorized Official Phone: (508) 835-1735

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487779104, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 4 + 7 + 1 + 8 + 1 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1487779104.