Pediatric Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8852 Issued in MA

Legal business name

PEDIATRIC PSYCHOLOGICAL SERVICES

Practice address

400 Hunnewell St
Needham, MA 02494-1360

Phone

(781) 898-0127

NPI assigned

Apr 26, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexis Kovacs, PSY.D.

Title

Owner/Psychologist

Phone

(617) 251-9029

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1386088896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHUTE RD",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020265803",
            "telephone_number": "617-251-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HUNNEWELL ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941360",
            "telephone_number": "781-898-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-251-9029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "8852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Patton, LICSW
• Sarah Covington Paulsen
• Wendy M Pearson
• Pediatria Healthcare, LLC
• Pediatric Dental Specialist of Needham
• Ginnyrose Pellegrini, LICSW
• Alejandro Peralta Soler, MD
• Gracia B Perez-Lirio, M.D.
• Perfect Dental, LLC
• Krisanthi Peri

• Community/Behavioral Health Agency in Needham, MA
• Providers in Needham, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.