Child and Family Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC

Practice address

12 Alfred St Ste 200
Woburn, MA 01801

Phone

(781) 646-0500

NPI assigned

Jun 6, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Michael A Goldberg, PHD

Title

Director

Phone

(781) 352-5608

Specialties & licenses 14

Addresses

Other names 2

• CFPS Other name
• CPA Other name

Tax ID family

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

Part of

Child and Family Psychological Services PLLC

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

  dba LifeStance Health

  • Behavioral Neurology & Neuropsychiatry Physician
  • East Weymouth, MA
  • NPI 1578848776
  NPD tax ID
• Child and Family Psychological Services, PLLC

  dba LifeStance Health

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Maurice Brigham, MD

  • Psychiatry Physician
  • Arlington, MA
  • NPI 1821184144
  NPD (past)
• Tracy B Glazier, PSYD

  • Mental Health Counselor
  • Arlington, MA
  • NPI 1144880246
  NPD (past)

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1598257396",
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            "address_1": "169 LIBBEY PKWY",
            "city": "EAST WEYMOUTH",
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            "telephone_number": "781-352-5608"
        },
        {
            "country_code": "US",
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            "address_type": "DOM",
            "address_1": "12 ALFRED ST STE 200",
            "city": "WOBURN",
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            "postal_code": "01801",
            "telephone_number": "781-646-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Montvale Ave Ste 2450",
            "address_purpose": "LOCATION",
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            "postal_code": "021803662",
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            "telephone_number": "781-646-0500",
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        },
        {
            "address_1": "125 Newbury St Ste 500",
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            "address_1": "477 Andover St",
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        {
            "address_1": "548 Lebanon St",
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        },
        {
            "address_1": "101 Main St Ste 201",
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            "city": "Medford",
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            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
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        {
            "address_1": "616 Boston Post Rd",
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            "city": "Sudbury",
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            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
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            "address_1": "1000 Broadway",
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            "city": "Chelsea",
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            "postal_code": "021502247",
            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "482 Bedford St",
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            "city": "Lexington",
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            "postal_code": "024201402",
            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
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        {
            "address_1": "63 Park St",
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            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "392 Chestnut St",
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            "city": "Needham",
            "state": "MA",
            "postal_code": "024922411",
            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Beacon St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024463885",
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            "telephone_number": "781-646-0500",
            "country_name": "United States",
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        },
        {
            "address_1": "83 Speen St",
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            "city": "Natick",
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            "postal_code": "017604168",
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            "telephone_number": "781-646-0500",
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        {
            "address_1": "246 Maple St",
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            "country_name": "United States",
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        },
        {
            "address_1": "74 Loomis St",
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            "city": "Bedford",
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            "postal_code": "017302248",
            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Mill St Ste 308",
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            "city": "Arlington",
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            "postal_code": "024764744",
            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Billerica Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Chelmsford",
            "state": "MA",
            "postal_code": "018244100",
            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-352-5608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
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            "license": null,
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        },
        {
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        },
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    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
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            "code": "5",
            "type": "Other Name"
        },
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    ]
}

• Karen A Chesley, RNCS
• Jennifer Chester, PA-C
• Mark S Chiacchi, D.C.
• Michelle Chianca, RN
• Abbigail Chickering, MA
• Nadinilza Fernandes Chiminski, NURSE
• John Kent Chin, MD
• Chitra Y. King MD PC
• Choate Health Management, Inc. (Arbour Counseling Services, Woburn)
• Natalie Aya Chouman

• Clinical Psychologist in Woburn, MA
• Providers in Woburn, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.