Fox Mental Helath Services

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

FOX MENTAL HELATH SERVICES

Practice address

12627 San Jose Blvd Ste 901C
Jacksonville, FL 32223-8645

Phone

(904) 716-8594

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By 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

Scarlett Fern KibbeyNPI 1346592102

Title

Ceo

Phone

(904) 716-8594

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scarlett Fern Kibbey

  • Social Worker
  • Jacksonville, FL
  • NPI 1346592102
  Authorized official Same address or phone

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1598195653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 901C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238645",
            "telephone_number": "904-716-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 901C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238645",
            "telephone_number": "904-716-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX MENTAL HELATH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "KIBBEY",
        "authorized_official_first_name": "SCARLETT",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-716-8594"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jantzen Sean Fowler, MD
• Kimberly Ann Fowler, LMT
• Nathanial James Fowler
• Sally A Fowler, LCSW
• Sydney Fowler, DMD
• Cheryl Fox, LMT
• Emily Fox
• Felicia Olivier Fox, MD
• Hannah Thomason Fox, M.D.
• Kaitlyn Fox

• Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.