Pediatric and Family Behavioral Health Acquisition Group PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC

Doing business as

Pediatric and Family Behavioral Health PLLC

Practice address

10420 Park Rd Ste 300
Charlotte, NC 28210-8502

Phone

(980) 237-4766

Fax

(980) 404-2274

NPI assigned

Jan 9, 2019

Last updated

Mar 30, 2026By 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

Dr. Luis Emilio Betancourt, MDNPI 1891076022

Title

Partner

Phone

(704) 770-7027

Specialties & licenses 1

Addresses

Other names 1

• Pediatric and Family Behavioral Health PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 37

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.

• Shravni Aterkar, LCMHCA

  • Mental Health Counselor
  • Asheville, NC
  • NPI 1841917259
  Medicare reassignment Care Compare group NPD
• Luis Emilio Betancourt, M.D.

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1891076022
  Medicare reassignment NPD Authorized official
• Micah Bright

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1669193330
  Medicare reassignment Care Compare group NPD
• Jessica Lynn Davis, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1730703950
  Medicare reassignment Care Compare group NPD
• Shanna Mago, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1689918849
  Medicare reassignment Care Compare group NPD
• Jaime Leigh Moffett, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1780978569
  Medicare reassignment Care Compare group NPD
• Daima Morales, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mooresville, NC
  • NPI 1528844081
  Medicare reassignment Care Compare group NPD
• Madhav Reddy Muppa, M.D

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1841480373
  Medicare reassignment Care Compare group NPD
• Laura Harvey Nazzaro, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1689920357
  Medicare reassignment Care Compare group NPD
• Javier Santos-Cubina, MD

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1588982755
  Medicare reassignment Care Compare group NPD
• Emily Nicole Thomson

  • Physician Assistant
  • Charlotte, NC
  • NPI 1063099844
  Medicare reassignment Care Compare group NPD
• Ronald Stuart Wells, LPC

  • Professional Counselor
  • Apex, NC
  • NPI 1487822888
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1770056038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108544",
            "telephone_number": "980-237-4766",
            "fax_number": "980-404-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108502",
            "telephone_number": "980-237-4766",
            "fax_number": "980-404-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 E Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297305384",
            "country_code": "US",
            "telephone_number": "980-237-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Spratt St",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297154100",
            "country_code": "US",
            "telephone_number": "704-931-1010",
            "fax_number": "980-404-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Clebourne St",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297151753",
            "country_code": "US",
            "telephone_number": "980-237-4766",
            "fax_number": "980-404-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10440 Park Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108544",
            "country_code": "US",
            "telephone_number": "980-237-4766",
            "fax_number": "980-404-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-770-7027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric and Family Behavioral Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric and Family Behavioral Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Murphy Peck, PSY.D.
• Victoria Peck, PA-C
• Johann Pecson, PARAMEDIC
• Aruna Kumari Peddireddy, M.D
• Lee Carl Pederson, M.D.
• Pediatric Dentistry of Steele Creek
• Pediatric Endocrinology & Diabetes Specialists
• Pediatric Foundations, PLLC
• Pediatric Hair Solutions Corporation
• Pediatric Lung Center of Charlotte, PLLC

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.