Organization Active NPI

Beacon Light Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Portland, ME
National Provider Identifier
1730902891
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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

Updated by the provider on Nov 23, 2025

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

Authorized official

Name
Craig Digiovanni, PHDNPI 1528374972
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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.