Organization Active NPI

Grace Psychological Services, LLC

  • Clinical Psychologist
  • Pinellas Park, FL
National Provider Identifier
1982316303
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Dr. Roberto Alves, PSYDNPI 1235404724
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2QI3TOtherFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230717002022 FL Part B Supplier - Clinic/Group Practice 8123488582 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.