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

DR. JUSTIN KUHNS SPOONER MD
NPI 1720269459
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ponte Vedra Beach, FL

Active since November 21, 2007Opted out of Medicare · through Apr 1, 2027
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: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jan 27, 2023, Jan 12, 2023 and 3 more (6 updates tracked since 2018).

About Dr. Justin Kuhns Spooner Md NPPES

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

DR. JUSTIN KUHNS SPOONER MD (NPI 1720269459) is an individual child & adolescent psychiatry provider in Ponte Vedra Beach, Florida, licensed in Florida (ME115625) and active in the NPI registry since November 2007. He has opted out of Medicare through April 1, 2027 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720269459
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JUSTIN KUHNS SPOONERCredential: MD
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
Sole ProprietorNo
Enumeration DateNovember 21, 2007
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1720269459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in FL · ME115625
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 · License ME115625 (FL)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License ME115625 (FL)
230 CANAL BLVD STE 2, Ponte Vedra Beach, FL 32082
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11351 13th Ave S Ste 120Jacksonville Beach, FL 32250-3237 · Phone (904) 280-6701 · Fax (904) 280-6702
Location 22550 Park StJacksonville, FL 32204 · Phone (904) 280-6701 · Fax (904) 280-6702
Location 32550 Park St, Ste BJacksonville, FL 32204-4518 · Phone (904) 280-6701 · Fax (904) 280-6702

Other Identifiers 2

Medicaid0086324100FL
OtherHG956FL · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Justin Kuhns Spooner Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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
PONTE VEDRA PSYCHIATRY LLC
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 Justin Spooner's NPI number?

The NPI number for Justin Spooner is 1720269459. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Justin Spooner located?

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

What is Justin Spooner's specialty?

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

Is Justin Spooner enrolled in Medicare?

No. Justin Spooner has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Justin Spooner was last updated on March 7, 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.