Refuat Hanefesh Care, Inc.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

REFUAT HANEFESH CARE, INC.

Practice address

3733 University Blvd W Ste 202
Jacksonville, FL 32217-2152

Phone

(904) 755-6623

Fax

(888) 402-9512

NPI assigned

Mar 25, 2025

Last updated

Mar 25, 2025By 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

Mr. Kelvin Samuel II

Title

Ceo

Phone

(904) 832-1623

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1356143846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15770 STEDMAN LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180619",
            "telephone_number": "904-832-1623",
            "fax_number": "888-402-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172152",
            "telephone_number": "904-755-6623",
            "fax_number": "888-402-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUAT HANEFESH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-832-1623",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.