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

NPI Status: Active since January 09, 2018

Contact Information

171 CANAL BLVD
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 608-0782

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  • Organization
  • Psychologist
  • Accepts Insurance

About MANDALA FAMILY WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Mandala Family Wellness Llc, a provider established in Ponte Vedra Beach, Florida operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1497262620 assigned on January 2018. The practitioner's primary taxonomy code is 103T00000X with license number PY7735 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. Mandala Family Wellness Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Katherine Falwell Ph.d (Ceo)

NPI
1497262620
Provider Name
MANDALA FAMILY WELLNESS LLC
Entity Type
Organization
Location Address
171 CANAL BLVD PONTE VEDRA BEACH, FL 32082
Location Phone
(904) 608-0782
Mailing Address
171 CANAL BLVD PONTE VEDRA BEACH, FL 32082
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2018
Last Update Date
10-05-2023
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A psychologist like Mandala Family Wellness Llc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
PY7735
License State
FL
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
  • BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHERINE FALWELL PH.D

Authorized Official Title
CEO
Authorized Official Phone
(904) 521-6266

Reviews for MANDALA FAMILY WELLNESS LLC

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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.
1497262620
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418746464
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 6 + 4 + 6 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497262620 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578991154MRS. NICOLE THEILER M.A.
Individual
Counselor (Mental Health)171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581
1265804827 MERCEDES TRIMBLE B.S., M.ED
Individual
Behavior Analyst171 CANAL BLVD
PONTE VEDRA, FL 32082
(904) 834-7581
1164946786 KIERSTYN DIAN SELIG
Individual
Behavior Analyst171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581
1629618228 AMBER LEIGH SMITH
Individual
Behavior Analyst171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581
1790300762 ALI SOTOLONGO BCBA
Individual
Behavior Analyst171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581
1063296754MANDALA FAMILY WELLNESS LLC
Organization
Occupational Therapist171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581
1255100319 MADELEINE GAIL CLYMER RBT
Individual
Behavior Technician171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 900-1439
1386261394 ALEXANDRA LINDSAY HAHN
Individual
Behavior Technician171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581
1689190282MRS. ASHLEY MERCER GREEN BCBA
Individual
Behavior Analyst171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581
1366016560MS. ALLIE MARIE ROBERTSON M.A., BCBA
Individual
Behavior Analyst171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 647-1849
1669031340 ANNA MARIE KACZKA
Individual
Behavior Analyst171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
(904) 834-7581

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497262620, enumerated in the NPI registry as an "organization" on January 09, 2018

The provider is located at 171 Canal Blvd Ponte Vedra Beach, Fl 32082 and the phone number is (904) 608-0782

This medical organization specializes in Psychologist with taxonomy code 103T00000X

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 09, 2018. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.