Refresh Mental Health Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

REFRESH MENTAL HEALTH INC.

Practice address

320 1St St N Ste 712
Jacksonville Beach, FL 32250-6943

Phone

(941) 444-1730

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Cole Shepard

Title

VP Revenue Cycle Management

Phone

(941) 444-1730

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1023683455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST ST N STE 712",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506943",
            "telephone_number": "941-444-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N STE 712",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506943",
            "telephone_number": "941-444-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH MENTAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "VP REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "941-444-1730"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@medpsych.net",
            "affiliation": "N",
            "endpointDescription": "Corporate Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "320 1st St N Ste 712",
            "city": "Jacksonville Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322506943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mina Ramzy, PMHNP-BC
• Cleveland W Randolph Jr., M.D.
• Tiffany Rawski Wood, MS
• Rebound Rehabilitative Services Inc
• Reflective Minds Therapy, LLC
• Eric James Regele, MD
• Olivia A Reidy
• Danielle K Reimer, MD
• Jessica Bradshaw Reinhardt, APRN
• Rosemary M Reitz, PHYSICAL THERAPIST

• Multi-Specialty Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.