Organization Active NPI

Beacon Psychology Solutions

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1114863727
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEACON PSYCHOLOGY SOLUTIONS
Practice address
2901 1St Ave N Ste 203
Saint Petersburg, FL 33713-8640
Phone
(727) 496-7834
Fax
(727) 800-3306
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Grace Hui-Yi Chang, PH.D.NPI 1184567117
Title
Owner
Phone
(727) 496-7834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2901 1St Ave N Ste 203
Saint Petersburg, FL 33713-8640

Mailing address

3615 49TH St N # 245
Saint Petersburg, FL 33710-2151
Phone (727) 496-7834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260622001481 FL Part B Supplier - Clinic/Group Practice 8224501309 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

2901 1st Ave N
Ste 203
Saint Petersburg, FL 33713

3615 49th St N
Saint Petersburg, FL 33710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1114863727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 49TH ST N # 245",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337102151",
            "telephone_number": "727-496-7834",
            "fax_number": "727-800-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 1ST AVE N STE 203",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138640",
            "telephone_number": "727-496-7834",
            "fax_number": "727-800-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PSYCHOLOGY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "HUI-YI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-496-7834",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.