Individual provider Active NPI

Beverley Elizabeth Calderone, M.A

  • Clinical Psychologist
  • Port St John, FL
National Provider Identifier
1962639005
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY13389 Issued in FL
Practice address
7227 N US Highway 1 Ste 210
Port St John, FL 32927-5034
Phone
(800) 457-4573
Fax
(800) 443-6422
NPI assigned
Jun 16, 2009
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY13389 FL Primary

Addresses

Primary practice location

7227 N US Highway 1 Ste 210
Port St John, FL 32927-5034

Mailing address

15544 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (800) 457-4573

Other practice location 1

500-B Jefferson Boulevard
Suite 150
West Sacramento, CA 95605
Phone (916) 375-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Support and Mental Health Solutions LLC Clinical Current Accepting new patients
Harmony United Florida, LLC PastSince Apr 6, 2021 Accepting new patients
Harmony United Pennsylvania PLLC Past Accepting new patients

Organizations & group practices 3

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1962639005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15544 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879556",
            "telephone_number": "800-457-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 N US HIGHWAY 1 STE 210",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329275034",
            "telephone_number": "800-457-4573",
            "fax_number": "800-443-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500-B Jefferson Boulevard",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "95605",
            "country_code": "US",
            "telephone_number": "916-375-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "BEVERLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY13389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St John, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.