Fred Joseph Rahaim, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0002524 Issued in FL

Practice address

5635 Crest Creek Dr
Jacksonville, FL 32258-5358

Phone

(904) 880-7095

Fax

(904) 880-0652

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1255862439

  Clinical

  Medicare reassignment NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597

  Clinical

  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  FL

  Medicare reassignment NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164
  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265475412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 CREST CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585358",
            "telephone_number": "904-880-7095",
            "fax_number": "904-880-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 CREST CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585358",
            "telephone_number": "904-880-7095",
            "fax_number": "904-880-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAIM",
        "first_name": "FRED",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0002524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rittie Ann Ragland, RMHCI,MCAP
• Adara Ragsdale
• Donna Rose Ragucci, LMHC
• Alexa Leigh Ragusa, DO
• Adrieal Ragwah, DMD
• John J Rahaim, MD
• Azeem Rahaman, COTA
• Radmehr Rahemipour, DO
• Rameni Guyadeen Rahim, ARNP
• Sana Syeeda Rahimi, DO

• 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.