1. Home
  2. Directory
  3. Florida
  4. Ponte Vedra Beach
  5. Psychiatry Neurology
  6. NPI Profile

PONTE VEDRA PSYCHIATRY LLC
NPI 1366158883
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ponte Vedra Beach, FL

Active since January 27, 2023
230 CANAL BLVD STE 2, PONTE VEDRA BEACH, FL 32082(904) 280-6701(904) 280-6702 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ponte Vedra Psychiatry Llc NPPES

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

PONTE VEDRA PSYCHIATRY LLC (NPI 1366158883) is a healthcare organization registered as a child & adolescent psychiatry in Ponte Vedra Beach, Florida and active in the NPI registry since January 2023. The organization lists Justin Spooner, President, as its authorized official.

NPPES Registry Identity

NPI1366158883
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NamePONTE VEDRA PSYCHIATRY LLC
Location Address230 CANAL BLVD STE 2Ponte Vedra Beach, FL 32082-3745
Mailing Address230 Canal Blvd Ste 2Ponte Vedra Beach, FL 32082-3745 · (904) 280-6701 · Fax (904) 280-6702
Phone(904) 280-6701
Fax(904) 280-6702
Organization SubpartNo
Authorized OfficialJustin SpoonerPresident · (904) 280-6701
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1366158883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
230 CANAL BLVD STE 2, Ponte Vedra Beach, FL 32082
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DIETITIANS OF PALM VALLEY
Clinic/Center (Health Service)
230 CANAL BLVD STE 2
PONTE VEDRA, FL 32082
St. Johns County (904) 250-0075
DR. JUSTIN KUHNS SPOONER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
230 CANAL BLVD STE 2
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 280-6701

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 Ponte Vedra Psychiatry LLC's NPI number?

The NPI number for Ponte Vedra Psychiatry LLC is 1366158883. It was assigned to this organization in the NPPES registry on January 27, 2023.

Where is Ponte Vedra Psychiatry LLC located?

Ponte Vedra Psychiatry LLC is located at 230 Canal Blvd Ste 2, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 280-6701.

What is Ponte Vedra Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Ponte Vedra Psychiatry LLC was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.