BEACON PEDIATRIC BEHAVIORAL HEALTH
NPI 1770838872
Psychologist in Jacksonville, FL

Active since July 16, 2012
6816 SOUTHPOINT PKWY STE 202, JACKSONVILLE, FL 32216(904) 419-7792(904) 900-7732 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Apr 9, 2018 (2 updates tracked since 2018).

About Beacon Pediatric Behavioral Health NPPES

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

BEACON PEDIATRIC BEHAVIORAL HEALTH (NPI 1770838872) is a healthcare organization registered as a psychologist in Jacksonville, Florida and active in the NPI registry since July 2012. The organization maintains a secondary practice location in Jacksonville and lists Adrienne Leigh Desantis King, Managing Member/owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1770838872
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBEACON PEDIATRIC BEHAVIORAL HEALTH
Location Address6816 SOUTHPOINT PKWY STE 202Jacksonville, FL 32216-1701
Mailing Address6816 Southpoint Pkwy Ste 202Jacksonville, FL 32216-1701 · (904) 419-7792 · Fax (904) 900-7732
Fax(904) 900-7732
Organization SubpartNo
Authorized OfficialAdrienne Leigh Desantis KingManaging Member/owner/psychologist · (904) 419-7792
Enumeration DateJuly 16, 2012
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1770838872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedBehavior AnalystTaxonomy 103K00000X
6816 SOUTHPOINT PKWY STE 202, Jacksonville, FL 32216

Secondary Practice Location 1

Location 112025 San Jose Blvd Ste 2Jacksonville, FL 32223-1639 · Phone (904) 419-7792 · Fax (904) 900-7732

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216
Behavior Technician
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216
Behavior Technician
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216
Behavior Technician
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216
Behavior Technician
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216
Behavior Analyst
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216
Assistant Behavior Analyst
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216
Behavior Technician
6816 SOUTHPOINT PKWY STE 202
JACKSONVILLE, FL 32216

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 Pediatric Behavioral Health's NPI number?

The NPI number for Beacon Pediatric Behavioral Health is 1770838872. It was assigned to this organization in the NPPES registry on July 16, 2012.

Where is Beacon Pediatric Behavioral Health located?

Beacon Pediatric Behavioral Health is located at 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216. The listed phone number is (904) 419-7792.

What is Beacon Pediatric Behavioral Health's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Beacon Pediatric Behavioral Health accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Beacon Pediatric Behavioral Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Pediatric Behavioral Health was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.