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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BOLD CITY BEHAVIORAL HEALTH
NPI 1295607828
Community/Behavioral Health in Jacksonville, FL

Active since September 23, 2025
2631 FORBES ST, JACKSONVILLE, FL 32204(904) 339-5048 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bold City Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLD CITY BEHAVIORAL HEALTH (NPI 1295607828) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since September 2025. The organization lists Alice Abdur-razzaaq, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295607828
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBOLD CITY BEHAVIORAL HEALTH
Location Address2631 FORBES STJacksonville, FL 32204-4224
Mailing Address476 Riverside AveJacksonville, FL 32202-4912 · (904) 339-5048
Phone(904) 339-5048
Organization SubpartNo
Authorized OfficialAlice Abdur-razzaaqCeo · (904) 339-5048
Enumeration DateSeptember 23, 2025
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1295607828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2631 FORBES ST, Jacksonville, FL 32204
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bold City Behavioral Health's NPI number?

The NPI number for Bold City Behavioral Health is 1295607828. It was assigned to this organization in the NPPES registry on September 23, 2025.

Where is Bold City Behavioral Health located?

Bold City Behavioral Health is located at 2631 Forbes St, Jacksonville, FL 32204. The listed phone number is (904) 339-5048.

What is Bold City Behavioral Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Bold City Behavioral Health was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.