Angel Kids Foundation, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ANGEL KIDS FOUNDATION, INC

Practice address

4160 Boulevard Center Dr
Jacksonville, FL 32207-2805

Phone

(904) 224-5437

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By 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

Sarah Sayar

Title

Executive Director

Phone

(904) 382-1022

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1508578295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 BOULEVARD CENTER DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 BOULEVARD CENTER DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072805",
            "telephone_number": "904-224-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL KIDS FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SAYAR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-382-1022"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Anez, MD
• Luis F Anez, MD
• Leiah Anfinson, M.D.
• Ang Luxury
• Maryoris Cecilia Angel Bello, APRN
• Angel Kids PA (Angel Kids Pediatrics)
• Angel Kids PA
• Angel Kids PA (Angel Kids Pediatrics)
• Angel Kids PA (Angel Kids Pediatrics)
• Angel Kids PA (Angel Kids Pediatrics)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.