PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC
NPI 1770056038
Psychiatry & Neurology - Psychiatry in Charlotte, NC

Active since January 09, 2019
10420 PARK RD STE 300, CHARLOTTE, NC 28210(980) 237-4766(980) 404-2274 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2026, Jun 7, 2023, Apr 3, 2023 and 4 more (7 updates tracked since 2019).

About Pediatric And Family Behavioral Health Acquisition Group Pllc NPPES

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

PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC (NPI 1770056038), doing business as Pediatric And Family Behavioral Health Pllc, is a healthcare organization registered as a psychiatry in Charlotte, North Carolina and active in the NPI registry since January 2019. The organization maintains 4 additional practice locations and lists Luis Emilio Betancourt, Partner, as its authorized official.

NPPES Registry Identity

NPI1770056038
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC
Location Address10420 PARK RD STE 300Charlotte, NC 28210-8502
Mailing Address10440 Park Rd Ste 300Charlotte, NC 28210-8544 · (980) 237-4766 · Fax (980) 404-2274
Fax(980) 404-2274
Organization SubpartNo
Authorized OfficialLuis Emilio BetancourtPartner · (704) 770-7027
Enumeration DateJanuary 9, 2019
Last NPPES UpdateMarch 30, 20267 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1770056038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10420 PARK RD STE 300, Charlotte, NC 28210

Other Names 1

Doing Business AsPediatric And Family Behavioral Health Pllc

Secondary Practice Locations 4

Location 1331 E Main St Ste 200Rock Hill, SC 29730-5384 · Phone (980) 237-4766
Location 2117 Spratt StFort Mill, SC 29715-4100 · Phone (704) 931-1010 · Fax (980) 404-2274
Location 3122 Clebourne StFort Mill, SC 29715-1753 · Phone (980) 237-4766 · Fax (980) 404-2274
Location 410440 Park Rd Ste 300Charlotte, NC 28210-8544 · Phone (980) 237-4766 · Fax (980) 404-2274

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

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 And Family Behavioral Health Acquisition Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Pediatric And Family Behavioral Health Acquisition Group PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner5
Mental Health Counselor4
Psychiatry4
Clinical Social Worker3
Marriage and Family Therapist1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1669193330
10420 PARK RD STE 300
Charlotte, NC 28210
(980) 237-4766
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689920357
10420 PARK RD STE 300
Charlotte, NC 28210
(980) 237-4766
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1558021253
10440 PARK RD STE 300
Charlotte, NC 28210
(980) 237-4766
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689918849
10440 PARK RD STE 300
Charlotte, NC 28210
(980) 237-4766
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013412972
6135 PARK SOUTH DRIVE SUITE 500
Charlotte, NC 28210
(980) 285-2993
✔ PECOS3.9 mi
Clinical Social Worker
NPI 1730703950
6849 FAIRVIEW RD STE 702
Charlotte, NC 28210
(980) 308-4500
✔ PECOS✔ Accepts Medicare4.4 mi
Clinical Social Worker
NPI 1780978569
5200 PARK RD SUITE 111, ROOM #2
Charlotte, NC 28209
(516) 524-2684
✔ PECOS✔ Accepts Medicare4.6 mi
Psychiatry
NPI 1548573231
3545 WHITEHALL PARK DR STE 300
Charlotte, NC 28273
(980) 302-8850
✔ PECOS✔ Accepts Medicare6.0 mi
Mental Health Counselor
NPI 1558098004
769 N WENDOVER RD
Charlotte, NC 28211
(704) 376-7180
✔ PECOS7.7 mi
Psychiatry
NPI 1891076022
1900 RANDOLPH RD STE 800
Charlotte, NC 28207
(704) 384-1246
✔ PECOS✔ Accepts Medicare8.3 mi
Psychiatry
NPI 1841480373
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-1246
✔ PECOS✔ Accepts Medicare8.4 mi
Psychiatry
NPI 1588982755
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-1246
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1528844081
106 LANGTREE VILLAGE DR STE 301
Mooresville, NC 28117
(980) 372-4457
✔ PECOS✔ Accepts Medicare30 mi
Clinical Social Worker
NPI 1568940773
820 GRIMES BLVD
Lexington, NC 27292
(336) 224-6071
✔ PECOS58 mi
Mental Health Counselor
NPI 1841917259
1100 RIDGEFIELD BLVD
Asheville, NC 28806
(828) 974-6811
✔ PECOS✔ Accepts Medicare102 mi
Mental Health Counselor
NPI 1487822888
104 WOOLARD WAY
Apex, NC 27502
(919) 368-4308
✔ PECOS✔ Accepts Medicare119 mi
Mental Health Counselor
NPI 1972079374
16120 NE 8TH ST
Bellevue, WA 98008
(425) 747-4004
✔ PECOS✔ Accepts Medicare2,280 mi

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 And Family Behavioral Health Acquisition Group PLLC's NPI number?

The NPI number for Pediatric And Family Behavioral Health Acquisition Group PLLC is 1770056038. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Pediatric and Family Behavioral Health PLLC.

Where is Pediatric And Family Behavioral Health Acquisition Group PLLC located?

Pediatric And Family Behavioral Health Acquisition Group PLLC is located at 10420 Park Rd Ste 300, Charlotte, NC 28210. The listed phone number is (980) 237-4766.

What is Pediatric And Family Behavioral Health Acquisition Group PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pediatric And Family Behavioral Health Acquisition Group PLLC enrolled in Medicare?

Yes. Pediatric And Family Behavioral Health Acquisition Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric And Family Behavioral Health Acquisition Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Pediatric And Family Behavioral Health Acquisition Group PLLC. 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. The largest specialties are Nurse Practitioner (5), Mental Health Counselor (4) and Psychiatry (4). Of these, 4 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric And Family Behavioral Health Acquisition Group PLLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Pediatric And Family Behavioral Health Acquisition Group PLLC 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 And Family Behavioral Health Acquisition Group PLLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.