Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAYBERRY MENTAL WELLNESS LLC
NPI 1649175340
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Mayberry Mental Wellness LLC's NPI number?

The NPI number for Mayberry Mental Wellness LLC is 1649175340. It was assigned to this organization in the NPPES registry on October 12, 2026.

Q: What is Mayberry Mental Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 12, 2026

11111 SAN JOSE BLVD # 1105, JACKSONVILLE, FL 32223(847) 529-4168 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mayberry Mental Wellness Llc NPPES

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

MAYBERRY MENTAL WELLNESS LLC (NPI 1649175340) is a healthcare organization registered as a psychiatric/mental health in Jacksonville, Florida and active in the NPI registry since October 2026. The organization lists Amaris Blanche Mayberry, Owner/practioner, as its authorized official.

NPPES Registry Identity

NPI1649175340

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMAYBERRY MENTAL WELLNESS LLC

Location Address11111 SAN JOSE BLVD # 1105Jacksonville, FL 32223-7946

Mailing Address11111 San Jose Blvd # 1105Jacksonville, FL 32223-7946 · (847) 529-4168

Phone(847) 529-4168

Organization SubpartNo

Authorized OfficialAmaris Blanche MayberryOwner/practioner · (847) 529-4168

Enumeration DateOctober 12, 2026

NPPES CertifiedOctober 12, 2026

✔ NPI 1649175340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

11111 SAN JOSE BLVD # 1105, Jacksonville, FL 32223

Open in Google Maps ↗

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 Mayberry Mental Wellness LLC's NPI number?

The NPI number for Mayberry Mental Wellness LLC is 1649175340. It was assigned to this organization in the NPPES registry on October 12, 2026.

Where is Mayberry Mental Wellness LLC located?

Mayberry Mental Wellness LLC is located at 11111 San Jose Blvd # 1105, Jacksonville, FL 32223. The listed phone number is (847) 529-4168.

What is Mayberry Mental Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mayberry Mental Wellness LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.