Individual provider Active NPI

Grace Hui-Yi Chang, PHD

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1184567117
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12772 Issued in FL
Practice address
2901 1St Ave N Ste 203
Saint Petersburg, FL 33713-8640
Phone
(304) 389-3561
NPI assigned
Apr 13, 2026
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004275 VA
Clinical Psychologist 103TC0700X PY12772 FL 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 (304) 389-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260622001579 FL Practitioner - Clinical Psychologist 0042783128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2901 1St Ave N
Suite 204
Saint Petersburg, FL 33713-8640

4301 15TH Ave N
Saint Petersburg, FL 33713-5229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY12772FLMDClinical Psychologist
0810004275VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Psychology Solutions Clinical Current Accepting new patients

Locations

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

3615 49th St N
Saint Petersburg, FL 33710

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1184567117",
    "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": "304-389-3561"
        },
        {
            "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": "304-389-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GRACE",
        "middle_name": "HUI-YI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004275",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.