Child and Family Psychological Services PLLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

CHILD AND FAMILY PSYCHOLOGICAL SERVICES PLLC

Doing business as

LifeStance Health

Practice address

169 Libbey Industrial Pkwy # 2ND
East Weymouth, MA 02189-3189

Phone

(781) 551-0999

Fax

(781) 551-3396

NPI assigned

Oct 19, 2011

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Pardo

Title

Chief Legal Officer

Phone

(254) 279-8500

Specialties & licenses 1

Addresses

Other names 1

• LifeStance Health Doing business as

Tax ID family

Child and Family Psychological Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Child and Family Psychological Services, PLLC

  • Clinical Psychologist
  • Woburn, MA
  • NPI 1598257396
  NPD tax ID
• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181
  NPD tax ID

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1578848776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LIBBEY INDUSTRIAL PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893189",
            "telephone_number": "781-551-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LIBBEY INDUSTRIAL PKWY # 2ND",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893189",
            "telephone_number": "781-551-0999",
            "fax_number": "781-551-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "254-279-8500"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Assent Academy
• Michelle Brooks, NP
• John Brown
• Stephanie Bythrow, DOULA
• Deborah Zahn Carlson, C.N.M.
• Kathleen Frances Cosgrove
• Mark P Dacey, M.D.
• Thomas Michael Decoste, D.D.S.
• Caitlin Didonna
• Eye Health Services,Inc.

• Behavioral Neurology & Neuropsychiatry Physician in East Weymouth, MA
• Providers in East Weymouth, MA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.