BEACON PSYCHOLOGICAL SERVICES
NPI 1205904836
Psychologist - Clinical in Birmingham, AL

Q: What is Beacon Psychological Services's NPI number?

The NPI number for Beacon Psychological Services is 1205904836. It was assigned to this organization in the NPPES registry on December 1, 2006.

Q: What is Beacon Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 01, 2006

600 BEACON PKWY W, SUITE 850, BIRMINGHAM, AL 35209(205) 945-1550(205) 945-1260 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Beacon Psychological Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON PSYCHOLOGICAL SERVICES (NPI 1205904836) is a healthcare organization registered as a clinical in Birmingham, Alabama and active in the NPI registry since December 2006. The organization lists Samantha Ryan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205904836

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBEACON PSYCHOLOGICAL SERVICES

Location Address600 BEACON PKWY W, SUITE 850Birmingham, AL 35209-3120

Mailing Address600 Beacon Parkway West, Suite 850Birmingham, AL 35210 · (205) 945-1550 · Fax (205) 945-1260

Phone(205) 945-1550

Fax(205) 945-1260

Organization SubpartNo

Authorized OfficialSamantha RyanOffice Manager · (205) 945-1550

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 30, 2007

✔ NPI 1205904836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AL · 848

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

600 BEACON PKWY W, Birmingham, AL 35209

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Other Identifiers 2

Medicare UPINR76017AL

Medicare UPINR76015AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beacon Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Smith, PH.D.

Clinical Psychologist

NPI 1013935170

600 BEACON PKWY W STE 850
Birmingham, AL 35209

(205) 945-1550

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Psychological Services's NPI number?

The NPI number for Beacon Psychological Services is 1205904836. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Beacon Psychological Services located?

Beacon Psychological Services is located at 600 Beacon Pkwy W Suite 850, Birmingham, AL 35209. The listed phone number is (205) 945-1550.

What is Beacon Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Beacon Psychological Services enrolled in Medicare?

Yes. Beacon Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Beacon Psychological Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beacon Psychological Services was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.