PONTE VEDRA PSYCHIATRY LLC
NPI 1366158883
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ponte Vedra Beach, FL
NPI Status: Active since January 27, 2023
Contact Information
230 CANAL BLVD STE 2
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 280-6701
Fax: (904) 280-6702
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
About PONTE VEDRA PSYCHIATRY LLC
This page provides the complete NPI Profile along with additional information for Ponte Vedra Psychiatry Llc, a provider established in Ponte Vedra Beach, Florida operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1366158883 assigned on January 2023. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Justin Spooner Md (President)
- NPI
- 1366158883
- Provider Name
- PONTE VEDRA PSYCHIATRY LLC
- Entity Type
- Organization
- Location Address
- 230 CANAL BLVD STE 2 PONTE VEDRA BEACH, FL 32082
- Location Phone
- (904) 280-6701
- Location Fax
- (904) 280-6702
- Mailing Address
- 230 CANAL BLVD STE 2 PONTE VEDRA BEACH, FL 32082
- Mailing Phone
- (904) 280-6701
- Mailing Fax
- (904) 280-6702
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2023
- Last Update Date
- 01-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366158883, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PONTE VEDRA BEACH, FL 32082
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366158883, enumerated as an "organization" on January 27, 2023.
The provider is located at 230 CANAL BLVD STE 2 PONTE VEDRA BEACH, FL 32082 and the phone number is (904) 280-6701.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
