- Practice location
- 22 Free St Ste 404, Portland, ME 04101-3900
- Phone
- 207-544-6810
- Fax
- 207-544-6888
- Last updated
- November 23, 2025
Beacon Light Neuropsychology, LLC is a healthcare organization based in Portland, ME. Beacon Light Neuropsychology, LLC practices in Portland, ME. The NPI Number for Beacon Light Neuropsychology, LLC is 1730902891. The current practice location address for Beacon Light Neuropsychology, LLC is 22 Free St Ste 404, Portland, ME 04101-3900 and can be reached out via phone at 207-544-6810 and via fax at 207-544-6888.
Provider Profile Details
- NPI Number
- 1730902891
- Provider Name
- Beacon Light Neuropsychology, LLC
- Provider Entity Type
- Organization
- Address
- 22 Free St Ste 404, Portland, ME 04101-3900
- Phone Number
- 207-544-6810
- Fax Number
- 207-544-6888
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Organization Subpart
- No
- Authorized Official
- Craig Digiovanni, PHD · Owner · 860-965-8054
- Provider Enumeration Date
- November 6, 2024
- Last Update Date
- November 23, 2025
- Certification Date
- November 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Free St Ste 404
Portland, ME 04101-3900 - City
- Portland
- State
- Maine
- Zip
- 04101-3900
- Phone Number
- 207-544-6810
- Fax Number
- 207-544-6888
Provider Business Mailing Address Details
- Address
- 22 Free St Ste 404
Portland, ME 04101-3900 - City
- Portland
- State
- ME
- Zip
- 04101-3900
- Phone Number
- 207-544-6810
- Fax Number
- 207-544-6888
License Information
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- Taxonomy (2)
- Clinical Neuropsychologist · 103G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinical Neuropsychologists near Portland, ME
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- Andrew M Oliver, APRN-CRNANurse Anesthetist, Certified Registered · NPI 1942962477
- Dirk Buban, PAPhysician Assistant · NPI 1982344313
- William J Laffan, LCPCCounselor, Professional · NPI 1790551414
- Dr. Allison Bailey, MDFamily Medicine, Addiction Medicine · NPI 1053302604
- Lisa J Parsons, DOObstetrics & Gynecology · NPI 1265526784
Frequently Asked Questions
What is the NPI number of Beacon Light Neuropsychology, LLC?
The NPI number of Beacon Light Neuropsychology, LLC is 1730902891. It was assigned on November 6, 2024 and is currently active in the NPPES registry.
What is the specialty of Beacon Light Neuropsychology, LLC?
Beacon Light Neuropsychology, LLC is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X).
Where does Beacon Light Neuropsychology, LLC practice?
The practice location is 22 Free St Ste 404, Portland, ME 04101-3900. The office can be reached at 207-544-6810 (phone) or 207-544-6888 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730902891 directly on the NPPES registry website.