MEDICARE: BEACON HILL BEHAVIORAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1528999042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEACON HILL BEHAVIORAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	230 STRATFORD RD
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02492-1433
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 STRATFORD RD
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02492-1433
Country	:	US
Telephone Number	:	781-455-0576
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT MARON
Credential	:
Telephone Number	:	781-455-0576

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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