PONTE VEDRA PSYCHOLOGISTS, LLC
NPI 1922348416
Psychologist - Clinical in Ponte Vedra Beach, FL

Active since February 21, 2013
2304 SAWGRASS VILLAGE DR, PONTE VEDRA BEACH, FL 32082(904) 285-4229(904) 280-9585 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ponte Vedra Psychologists, Llc NPPES

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

PONTE VEDRA PSYCHOLOGISTS, LLC (NPI 1922348416) is a healthcare organization registered as a clinical in Ponte Vedra Beach, Florida and active in the NPI registry since February 2013. The organization lists Gregory L Garamoni, Owner, as its authorized official.

NPPES Registry Identity

NPI1922348416
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePONTE VEDRA PSYCHOLOGISTS, LLC
Location Address2304 SAWGRASS VILLAGE DRPonte Vedra Beach, FL 32082-5007
Mailing Address2304 Sawgrass Village DrPonte Vedra Beach, FL 32082-5007 · (904) 285-4229 · Fax (904) 280-9585
Fax(904) 280-9585
Organization SubpartNo
Authorized OfficialGregory L GaramoniOwner · (904) 285-4229
Enumeration DateFebruary 21, 2013
✔ NPI 1922348416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2304 SAWGRASS VILLAGE DR, Ponte Vedra Beach, FL 32082

Other Names 1

Doing Business AsPonte Vedra Psychologists, Llc

Other Identifiers 1

Medicare UPIN73863FL

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ponte Vedra Psychologists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20130325000128Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ponte Vedra Psychologists, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1760451637
2304 SAWGRASS VILLAGE DR
Ponte Vedra Beach, FL 32082
(904) 285-4229
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychologists, LLC's NPI number?

The NPI number for Ponte Vedra Psychologists, LLC is 1922348416. It was assigned to this organization in the NPPES registry on February 21, 2013.

Where is Ponte Vedra Psychologists, LLC located?

Ponte Vedra Psychologists, LLC is located at 2304 Sawgrass Village Dr, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 285-4229.

What is Ponte Vedra Psychologists, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ponte Vedra Psychologists, LLC enrolled in Medicare?

Yes. Ponte Vedra Psychologists, LLC is registered in the Medicare PECOS enrollment system.

When is Ponte Vedra Psychologists, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ponte Vedra Psychologists, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Ponte Vedra Psychologists, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ponte Vedra Psychologists, LLC was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.