Organization Active NPI

Beacon Heights Psychology PLLC

  • Psychologist
  • Bayside, NY
National Provider Identifier
1952234304
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BEACON HEIGHTS PSYCHOLOGY PLLC
Practice address
2 Bay Club Dr Apt 19J
Bayside, NY 11360-2932
Phone
(617) 838-1286
NPI assigned
Jun 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Joanna Wing Yan Poon, PSY.D.NPI 1699545319
Title
Psychologist
Phone
(617) 838-1286

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2 Bay Club Dr Apt 19J
Bayside, NY 11360-2932

Mailing address

2 Bay Club Dr Apt 19J
Bayside, NY 11360-2932
Phone (617) 838-1286

National Provider Directory

National Provider Directory

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": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1952234304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BAY CLUB DR APT 19J",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602932",
            "telephone_number": "617-838-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BAY CLUB DR APT 19J",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602932",
            "telephone_number": "617-838-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEIGHTS PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "POON",
        "authorized_official_first_name": "JOANNA WING YAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-838-1286",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.