PONTE VEDRA PSYCHIATRY LLC
NPI 1366158883
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ponte Vedra Beach, FL
NPI Status: Active since January 27, 2023
Contact Information
230 CANAL BLVD STE 2
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 280-6701
Fax: (904) 280-6702
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
About PONTE VEDRA PSYCHIATRY LLC
This page provides the complete NPI Profile along with additional information for Ponte Vedra Psychiatry Llc, a provider established in Ponte Vedra Beach, Florida operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1366158883 assigned on January 2023. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Justin Spooner Md (President)
- NPI
- 1366158883
- Provider Name
- PONTE VEDRA PSYCHIATRY LLC
- Entity Type
- Organization
- Location Address
- 230 CANAL BLVD STE 2 PONTE VEDRA BEACH, FL 32082
- Location Phone
- (904) 280-6701
- Location Fax
- (904) 280-6702
- Mailing Address
- 230 CANAL BLVD STE 2 PONTE VEDRA BEACH, FL 32082
- Mailing Phone
- (904) 280-6701
- Mailing Fax
- (904) 280-6702
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2023
- Last Update Date
- 01-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 1 | 5 | 8 | 8 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 2 | 5 | 16 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 2 + 5 + 1 + 6 + 8 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1366158883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215572854 | DIETITIANS OF PALM VALLEY Organization | Clinic/Center (Health Service) | 230 CANAL BLVD STE 2 PONTE VEDRA, FL 32082 (904) 250-0075 |
| 1720269459 | DR. JUSTIN KUHNS SPOONER MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 230 CANAL BLVD STE 2 PONTE VEDRA BEACH, FL 32082 (904) 280-6701 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366158883, enumerated in the NPI registry as an "organization" on January 27, 2023
The provider is located at 230 Canal Blvd Ste 2 Ponte Vedra Beach, Fl 32082 and the phone number is (904) 280-6701
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry
This NPI record was last updated on January 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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