Beacon Psychological and Consulting Services, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BEACON PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC

Practice address

1930 S Alma School Rd
Mesa, AZ 85210-3064

Phone

(480) 282-4237

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Bryce Bennett, PSY.D.NPI 1649637398

Title

Owner

Phone

(801) 857-0867

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Bryce Bennett, PSY.D.

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1649637398
  Authorized official Same address or phone

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1942788237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 S CROWS NEST RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832111",
            "telephone_number": "801-857-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-282-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-857-0867",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649637398",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Bazalaki, FNP
• Bbravo, PLLC
• BDMC Med Pro Fees
• Beacon Behavioral Health LLC
• Beacon of Hope Counseling Services, LLC (BHCS, LLC)
• Melody Joy Beall, RBT
• Richard Jason Beals, DNP, PMHNP
• Harold Arthur Beaman, PH.D.
• Jamenia Bean, LMT, MMP
• Katherine Marie Bear, NP

• Adolescent and Children Mental Health Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adolescent and Children Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.