Provider Demographics
NPI:1700497583
Name:BECK, ALEXA (PSYD)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15420 COLLIER BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-3917
Mailing Address - Country:US
Mailing Address - Phone:786-624-2610
Mailing Address - Fax:305-668-8045
Practice Address - Street 1:15420 COLLIER BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-3917
Practice Address - Country:US
Practice Address - Phone:786-624-2610
Practice Address - Fax:305-668-8045
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11527103TC0700X, 103T00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL116057100Medicaid