DR. JUSTIN KUHNS SPOONER MD NPI 1720269459

NPI Information

NPI: 1720269459
Provider Name: DR. JUSTIN KUHNS SPOONER, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
230 CANAL BLVD STE 2
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 280-6701
Get Directions

DR. Justin Kuhns Spooner, MD is a child and adolescent psychiatry psychiatry neurology in Ponte Vedra Beach, FL. The provider is 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. DR. Justin Kuhns Spooner, MD NPI is 1720269459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 CANAL BLVD STE 2
PONTE VEDRA BEACH, FL
ZIP 32082-745
Phone: (904) 280-6701
Fax: (904) 280-6702

The enumeration date for this NPI number is 11/21/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	ME115625	FLORIDA	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	ME115625	FLORIDA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	ME115625	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0086324100	MEDICAID	FLORIDA
2	HG956	OTHER	FLORIDA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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