Active NPI
Grace Psychological Services, LLC
- Clinical Psychologist
- Pinellas Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- GRACE PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 10707 66TH St N Ste 9
Pinellas Park, FL 33782-2336 - Phone
- (727) 314-5001
- NPI assigned
- Dec 16, 2022
- 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
- Dr. Roberto Alves, PSYD
- Title
- Owner
- Phone
- (727) 314-5001
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 Psychologist | 103TC0700X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
10707 66TH St N Ste 9
Pinellas Park, FL 33782-2336
Mailing address
10707 66TH St N Ste 9
Pinellas Park, FL 33782-2336
Phone (727) 314-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2QI3T | Other | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12360 66th St
Largo, FL 33773
Phone (727) 417-2812
12360 66th St
#B1
Largo, FL 33773
Phone (727) 314-5001
10707 66th St N
Ste 9
Pinellas Park, FL 33782
Phone (727) 314-5001
1913 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 209-7792
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 Psychologist
- Pinellas Park, FL
- NPI 1235404724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1982316303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10707 66TH ST N STE 9",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822336",
"telephone_number": "727-314-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10707 66TH ST N STE 9",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822336",
"telephone_number": "727-314-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-16",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "ALVES",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-314-5001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "2QI3T",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.