MANDALA FAMILY WELLNESS LLC
NPI 1497262620
Psychologist in Ponte Vedra Beach, FL

Active since January 09, 2018
171 CANAL BLVD, PONTE VEDRA BEACH, FL 32082(904) 608-0782 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Jan 9, 2018 (2 updates tracked since 2018).

About Mandala Family Wellness Llc NPPES

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

MANDALA FAMILY WELLNESS LLC (NPI 1497262620) is a healthcare organization registered as a psychologist in Ponte Vedra Beach, Florida and active in the NPI registry since January 2018. The organization lists Katherine Falwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497262620
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMANDALA FAMILY WELLNESS LLC
Location Address171 CANAL BLVDPonte Vedra Beach, FL 32082-3607
Mailing Address171 Canal BlvdPonte Vedra Beach, FL 32082-3607
Organization SubpartNo
Authorized OfficialKatherine FalwellCeo · (904) 521-6266
Enumeration DateJanuary 9, 2018
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1497262620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY7735
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.
171 CANAL BLVD, Ponte Vedra Beach, FL 32082

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 12

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

Occupational Therapist
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
Behavior Technician
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA, FL 32082
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
Behavior Technician
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
Counselor (Mental Health)
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082

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 Mandala Family Wellness LLC's NPI number?

The NPI number for Mandala Family Wellness LLC is 1497262620. It was assigned to this organization in the NPPES registry on January 9, 2018.

Where is Mandala Family Wellness LLC located?

Mandala Family Wellness LLC is located at 171 Canal Blvd, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 608-0782.

What is Mandala Family Wellness LLC's specialty?

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

What insurance does Mandala Family Wellness LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Mandala Family Wellness LLC 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 Mandala Family Wellness LLC was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.