Active NPI
Beacon Light Neuropsychology, LLC
- Clinical Neuropsychologist
- Portland, ME
National Provider Identifier
1730902891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- BEACON LIGHT NEUROPSYCHOLOGY, LLC
- Practice address
- 22 Free St Ste 404
Portland, ME 04101-3900 - Phone
- (207) 544-6810
- Fax
- (207) 544-6888
- NPI assigned
- Nov 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Digiovanni, PHD
- Title
- Owner
- Phone
- (860) 965-8054
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
22 Free St Ste 404
Portland, ME 04101-3900
Mailing address
22 Free St Ste 404
Portland, ME 04101-3900
Phone (207) 544-6810
National Provider Directory
National Provider DirectoryLocations
22 Free St
Ste 404
Portland, ME 04101
Phone (207) 544-6810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Portland, ME
- NPI 1528374972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763856000000",
"number": "1730902891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 FREE ST STE 404",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013900",
"telephone_number": "207-544-6810",
"fax_number": "207-544-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 FREE ST STE 404",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013900",
"telephone_number": "207-544-6810",
"fax_number": "207-544-6888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON LIGHT NEUROPSYCHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2025-11-23",
"certification_date": "2025-11-23",
"status": "A",
"authorized_official_last_name": "DIGIOVANNI",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-965-8054",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.