Bold City Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BOLD CITY BEHAVIORAL HEALTH

Practice address

2631 Forbes St
Jacksonville, FL 32204-4224

Phone

(904) 339-5048

NPI assigned

Sep 23, 2025

Organization subpart

No

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

Authorized official

Name

Alice Abdur-Razzaaq, PMHNPNPI 1245063494

Title

Ceo

Phone

(904) 339-5048

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alice Lillian Abdur-Razzaaq, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1245063494
  NPD Authorized official

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1295607828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024912",
            "telephone_number": "904-339-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FORBES ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044224",
            "telephone_number": "904-339-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD CITY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "ABDUR-RAZZAAQ",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-339-5048",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Mejia Bolante, ARNP
• Amor Tecling Bolatete, PT
• Rotimi Omotunde Bolatiwa, PHARM.D
• Bold Bite Orthodontics PLLC
• Bold Child Co.
• Bold City Behavioral Services
• Bold City Chiropractic LLC
• Bold City Doula Coalition
• Bold City Integrative Care
• Bold City Orthotics and Prosthetics, LLC

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.