NPIMap

Organization Active NPI

Ruby Beach Behavioral Pediatrics LLC

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1407527385
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RUBY BEACH BEHAVIORAL PEDIATRICS LLC
Practice address
12086 Fort Caroline Rd Ste 102
Jacksonville, FL 32225-2688
Phone
(904) 415-1609
Fax
(904) 485-8298
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Ms. Megan T Alexander
Title
Co-Owner
Phone
(904) 415-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12086 Fort Caroline Rd Ste 102
Jacksonville, FL 32225-2688

Mailing address

12086 Fort Caroline Rd Ste 102
Jacksonville, FL 32225-2688
Phone (904) 415-1609

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan@rubybeach.org Direct

National Provider Directory

National Provider Directory

Locations

12086 Fort Caroline Rd
Ste 102
Jacksonville, FL 32225
Phone (904) 415-1609

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1407527385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252688",
            "telephone_number": "904-415-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252688",
            "telephone_number": "904-415-1609",
            "fax_number": "904-485-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY BEACH BEHAVIORAL PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "904-415-1609",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan@rubybeach.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12086 Fort Caroline Rd Ste 102",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322252688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.