NPIMap

Organization Active NPI

Marianna Garibaldi Pmhnp LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponte Vedra, FL
National Provider Identifier
1053109397
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MARIANNA GARIBALDI PMHNP LLC
Practice address
267 Harpers Mill Dr
Ponte Vedra, FL 32081-1224
Phone
(845) 206-9715
NPI assigned
Apr 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marianna Garibaldi, PMHNPNPI 1689227175
Title
Owner
Phone
(845) 206-9715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

267 Harpers Mill Dr
Ponte Vedra, FL 32081-1224

Mailing address

267 Harpers Mill Dr
Ponte Vedra, FL 32081-1224
Phone (845) 222-7661

Other names 1

  • Serenity Telemental Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1053109397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 HARPERS MILL DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811224",
            "telephone_number": "845-222-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 HARPERS MILL DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811224",
            "telephone_number": "845-206-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA GARIBALDI PMHNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "GARIBALDI",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-206-9715",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Telemental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.