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

Q: What is Pediatric Behavioral Health, LLC's NPI number?

The NPI number for Pediatric Behavioral Health, LLC is 1487779104. It was assigned to this organization in the NPPES registry on March 20, 2007.

Q: What is Pediatric Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since March 20, 2007

148 WORCESTER ST, WEST BOYLSTON, MA 01583(508) 835-1735(508) 835-1736 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Pediatric Behavioral Health, Llc NPPES

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

PEDIATRIC BEHAVIORAL HEALTH, LLC (NPI 1487779104) is a healthcare organization registered as a marriage & family therapist in West Boylston, Massachusetts and active in the NPI registry since March 2007. The organization lists Tracey Guertin, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1487779104

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NamePEDIATRIC BEHAVIORAL HEALTH, LLC

Location Address148 WORCESTER STWest Boylston, MA 01583-1751

Mailing Address148 Worcester StWest Boylston, MA 01583-1751 · (508) 835-1735 · Fax (508) 835-1736

Phone(508) 835-1735

Fax(508) 835-1736

Organization SubpartNo

Authorized OfficialTracey GuertinClinical Director · (508) 835-1735

Enumeration DateMarch 20, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1487779104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

148 WORCESTER ST, West Boylston, MA 01583

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pediatric Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kristen Birch

Mental Health Counselor

NPI 1447567839

148 WORCESTER ST
West Boylston, MA 01583

(508) 835-1735

✔ PECOSSame address

Kelly Hobson, MA, LMHC

Mental Health Counselor

NPI 1225356397

148 WORCESTER ST
West Boylston, MA 01583

(508) 612-4139

✔ PECOSSame address

Kimberly Mastis, M.D.

Psychiatry

NPI 1285791780

148 WORCESTER ST
West Boylston, MA 01583

(508) 835-1735

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pediatric Behavioral Health, LLC's NPI number?

The NPI number for Pediatric Behavioral Health, LLC is 1487779104. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Pediatric Behavioral Health, LLC located?

Pediatric Behavioral Health, LLC is located at 148 Worcester St, West Boylston, MA 01583. The listed phone number is (508) 835-1735.

What is Pediatric Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Pediatric Behavioral Health, LLC enrolled in Medicare?

Yes. Pediatric Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pediatric Behavioral Health, LLC, in Mental Health Counselor and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric Behavioral Health, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Pediatric Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Behavioral Health, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.