Kristol Healing Center Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2363 Issued in FL

Legal business name

KRISTOL HEALING CENTER INC

Practice address

2427 University Blvd W
Jacksonville, FL 32217-2001

Phone

(904) 739-5808

Fax

(904) 739-2528

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bruce I Kristol, PH.D.

Title

Psychologist / V. President

Phone

(904) 739-5808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mariellen L Kristol, A.P.

  • Acupuncturist
  • Jacksonville, FL
  • NPI 1861466492
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1184901951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172001",
            "telephone_number": "904-739-5808",
            "fax_number": "904-739-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172001",
            "telephone_number": "904-739-5808",
            "fax_number": "904-739-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTOL HEALING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "KRISTOL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PSYCHOLOGIST / V. PRESIDENT",
        "authorized_official_telephone_number": "904-739-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nithya Meenakshi Krishnan, MD
• Kimberly S Krist
• Kristian Kares Kounseling
• Kristin Kay Jones Inc
• Kristin Rispoli Counseling
• Bruce Ivan Kristol, PH.D.
• Mariellen L Kristol, A.P.
• Yianne Kritzas, D.M.D.
• Kayla Krivensky
• Sara Kriz, RBT

• Clinical Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.