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Beaches Behavioral Medicine

Interventional Pain Medicine Physician in Jacksonville Beach, FL · enumerated 2016 · authorized official Justin Spooner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417309832

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Registry record

Entity type Organization (Type 2)
Legal business name Beaches Behavioral Medicine
Other name <Unavail>
Practice address 1351 13th Ave S Ste 120, Jacksonville Beach, FL, 32250
Phone (904) 280-6701
Fax (904) 280-6702
Enumeration date Jul 9, 2016
Last updated in NPPES Jan 12, 2023

Taxonomy & classification

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License ME115625 (FL) Secondary
2083A0300X Addiction Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Secondary
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P2900X Pain Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Justin Spooner
Title President
Phone (904) 280-6701

Other identifiers

Identifier Type State Issuer
00863244100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Beaches Behavioral Medicine?
Beaches Behavioral Medicine is registered in NPPES as a Interventional Pain Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-12.