Beaches Behavioral Medicine
NPI 1417309832 · Interventional Pain Medicine Physician · Jacksonville Beach, FL
Beaches Behavioral Medicine is a Interventional Pain Medicine Physician organization in Jacksonville Beach, FL (NPI 1417309832).
Provider details
- NPI number
- 1417309832
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Spooner, President(904) 280-6701
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Beaches Laser Spine and Pain Medicine
- Doing business as
- Beaches Specialty Group
Additional practice locations (1)
- 2550 Park StSte BJacksonville, FL 32204Phone: (904) 280-6701Fax: (904) 280-6702
Registry dates
- Enumerated
- 2016-07-09
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Frequently asked questions
- What is Beaches Behavioral Medicine's NPI number?
- Beaches Behavioral Medicine's National Provider Identifier (NPI) is 1417309832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaches Behavioral Medicine?
- Beaches Behavioral Medicine is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beaches Behavioral Medicine located?
- Beaches Behavioral Medicine's practice location on file with NPPES is 1351 13th Ave S Ste 120, Jacksonville Beach, FL 32250-3237.
- What is Beaches Behavioral Medicine's phone number?
- The practice phone number listed in the NPPES registry for Beaches Behavioral Medicine is (904) 280-6701.
- Who is the authorized official for Beaches Behavioral Medicine?
- The authorized official listed on Beaches Behavioral Medicine's NPPES record is Justin Spooner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaches Behavioral Medicine's NPI active?
- Yes — Beaches Behavioral Medicine's NPI (1417309832) is active in the NPPES registry as of the last update on 2023-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.