OrganizationActive
Child and Family Psychological Services PLLC
NPI 1578848776 · Behavioral Neurology & Neuropsychiatry Physician · East Weymouth, MA
Provider details
- NPI number
- 1578848776
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Pardo, Chief Legal Officer(254) 279-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
169 Libbey Industrial Pkwy # 2nd
East Weymouth, MA 02189-3189
Phone: (781) 551-0999
Fax: (781) 551-3396
Approximate (ZIP-level) locationGet directions
Mailing address
169 Libbey Industrial Pkwy
Weymouth, MA 02189-3189
Other names (DBA / former)
- Doing business as
- Lifestance Health
Registry dates
- Enumerated
- 2011-10-19
- Last updated
- 2024-01-04
- Certified
- 2024-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.