Ponte Vedra Psychiatry LLC
NPI 1366158883 · Child & Adolescent Psychiatry Physician · Ponte Vedra Beach, FL
Ponte Vedra Psychiatry LLC is a Child & Adolescent Psychiatry Physician organization in Ponte Vedra Beach, FL (NPI 1366158883).
Provider details
- NPI number
- 1366158883
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Spooner, President(904) 280-6701
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-27
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Frequently asked questions
- What is Ponte Vedra Psychiatry LLC's NPI number?
- Ponte Vedra Psychiatry LLC's National Provider Identifier (NPI) is 1366158883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponte Vedra Psychiatry LLC?
- Ponte Vedra Psychiatry LLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Ponte Vedra Psychiatry LLC located?
- Ponte Vedra Psychiatry LLC's practice location on file with NPPES is 230 Canal Blvd Ste 2, Ponte Vedra Beach, FL 32082-3745.
- What is Ponte Vedra Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Ponte Vedra Psychiatry LLC is (904) 280-6701.
- Who is the authorized official for Ponte Vedra Psychiatry LLC?
- The authorized official listed on Ponte Vedra Psychiatry LLC's NPPES record is Justin Spooner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponte Vedra Psychiatry LLC's NPI active?
- Yes — Ponte Vedra Psychiatry LLC's NPI (1366158883) is active in the NPPES registry as of the last update on 2023-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.