NPIMap

Organization Active NPI

Child and Family Psychological Services, PLLC

Doing business as LifeStance Health

  • Psychologist
  • Norwood, MA
National Provider Identifier
1912987181
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC
Doing business as
LifeStance Health
Practice address
89 Access Rd
Suite 24
Norwood, MA 02062
Phone
(781) 551-0999
Fax
(781) 551-3396
NPI assigned
Jan 22, 2006
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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
(425) 279-8500

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Neuropsychologist 103G00000X NU
Psychologist 103T00000X NU Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Clinical Psychologist 103TC0700X NU
Counseling Psychologist 103TC1900X NU
Group Psychotherapy Psychologist 103TP2701X NU
Clinical Social Worker 1041C0700X NU
Psychiatric/Mental Health Registered Nurse 163WP0808X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Geriatric Psychiatry Physician 2084P0805X NU
Other Technician 247200000X NU
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU
Health Psychologist 103TH0004X NU

Addresses

Primary practice location

89 Access Rd
Suite 24
Norwood, MA 02062

Mailing address

169 Libbey Pkwy
East Weymouth, MA 02189-3101
Phone (781) 551-0999

Other practice location 1

110 Hartwell Ave
Lexington, MA 02421-3118
Phone (781) 551-0999

Other practice location 2

44 Bearfoot Rd
Northborough, MA 01532-1559
Phone (781) 551-0999

Other practice location 3

169 Libbey Industrial Pkwy
East Weymouth, MA 02189-3101
Phone (781) 551-0999

Other names 1

  • LifeStance Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041227000004 MA Part B Supplier - Clinic/Group Practice 5991763823 Receives reassigned benefits from 335 practitioners

National Provider Directory

National Provider Directory
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.

Locations (25 of 44)

22 Mill St
Ste 307
Arlington, MA 02476
Phone (781) 431-1177

11 Midstate Dr
Ste 3
Auburn, MA 01501
Phone (774) 379-0677

74 Loomis St
Bedford, MA 01730
Phone (781) 674-2900

185 Devonshire St
Ste 801
Boston, MA 02110

225 Friend St
Ste 800
Boston, MA 02114
Phone (617) 618-5770

625 Mount Auburn St
Ste 205A
Cambridge, MA 02138
Phone (617) 396-5850

45 Shawmut Rd
Fl 3
Canton, MA 02021

45 Shawmut Rd
Ste 3B
Canton, MA 02021
Phone (781) 474-5287

321 Billerica Rd
Ste 104
Chelmsford, MA 01824

200 Baker Ave
Ste 203
Concord, MA 01742

99 Conifer Hill Dr
Unit 104
Danvers, MA 01923
Phone (203) 940-0964

19 Pierce Ave
Fitchburg, MA 01420
Phone (508) 852-1703

1280 W Central St
Ste 301
Franklin, MA 02038
Phone (508) 528-2700

120 Boston Rd
Ste 200
Groton, MA 01450

1 Ash St
Hopkinton, MA 01748
Phone (508) 254-9142

110 Hartwell Ave
Lexington, MA 02421
Phone (781) 352-5609

110 Hartwell Ave
Ste 330
Lexington, MA 02421
Phone (617) 852-1334

6 Kimball Ln
Ste 305
Lynnfield, MA 01940
Phone (617) 405-5735

5 Hampshire St
Ste 100B
Mansfield, MA 02048

266 Main St
Ste 33A
Medfield, MA 02052
Phone (508) 242-9666

10 Cabot Rd
Ste 205
Medford, MA 02155
Phone (617) 912-7500

548 Lebanon St
Melrose, MA 02176
Phone (781) 665-4364

12 Uxbridge Rd
Ste 201
Mendon, MA 01756
Phone (508) 634-6620

221 E Main St
Milford, MA 01757
Phone (508) 473-7599

175 Highland Ave
Ste 308
Needham, MA 02494
Phone (781) 474-5280

Practitioners & affiliated clinicians

Practitioners 639

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.

View all 639

NPI Registry JSON

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1912987181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LIBBEY PKWY",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893101",
            "telephone_number": "781-551-0999",
            "fax_number": "781-551-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 ACCESS RD",
            "address_2": "SUITE 24",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-551-0999",
            "fax_number": "781-551-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hartwell Ave",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024213118",
            "country_code": "US",
            "telephone_number": "781-551-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Bearfoot Rd",
            "address_purpose": "LOCATION",
            "city": "Northborough",
            "state": "MA",
            "postal_code": "015321559",
            "country_code": "US",
            "telephone_number": "781-551-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Libbey Industrial Pkwy",
            "address_purpose": "LOCATION",
            "city": "East Weymouth",
            "state": "MA",
            "postal_code": "021893101",
            "country_code": "US",
            "telephone_number": "781-551-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-22",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "425-279-8500"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.