ANGEL KIDS FOUNDATION, INC
NPI 1508578295
Psychologist in Jacksonville, FL

Active since December 14, 2022CLIA Certified · 3 labs
4160 BOULEVARD CENTER DR, JACKSONVILLE, FL 32207(904) 224-5437 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angel Kids Foundation, Inc NPPES

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

ANGEL KIDS FOUNDATION, INC (NPI 1508578295) is a healthcare organization registered as a psychologist in Jacksonville, Florida and active in the NPI registry since December 2022. The organization holds 3 active CLIA laboratory certificates and lists Sarah Sayar, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508578295
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameANGEL KIDS FOUNDATION, INC
Location Address4160 BOULEVARD CENTER DRJacksonville, FL 32207-2805
Mailing Address4160 Boulevard Center DrJacksonville, FL 32207-2805
Organization SubpartNo
Authorized OfficialSarah SayarExecutive Director · (904) 382-1022
Enumeration DateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
NPI 1508578295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4160 BOULEVARD CENTER DR, Jacksonville, FL 32207

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1028746

Angel Kids PA · Jacksonville, FL
Active · expires Nov 3, 2027
CLIA Number10D1028746
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorAshraf A. Affan
Laboratory Phone(904) 224-5437
Laboratory LocationAngel Kids PA13443 Atlantic Blvd, Jacksonville, FL 32225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2161723

Angel Kids PA · Jacksonville, FL
Active · expires Feb 7, 2027
CLIA Number10D2161723
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorAshraf A. Affan
Laboratory Phone(904) 224-5437
Laboratory LocationAngel Kids PA2040 Riverview St, Jacksonville, FL 32208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2157290

Angel Kids PA · Jacksonville, FL
Active · expires Nov 4, 2026
CLIA Number10D2157290
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorAshraf A. Affan
Laboratory Phone(904) 224-5437
Laboratory LocationAngel Kids PA6801 Beach Blvd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Angel Kids Foundation, Inc's NPI number?

The NPI number for Angel Kids Foundation, Inc is 1508578295. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Angel Kids Foundation, Inc located?

Angel Kids Foundation, Inc is located at 4160 Boulevard Center Dr, Jacksonville, FL 32207. The listed phone number is (904) 224-5437.

What is Angel Kids Foundation, Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Does Angel Kids Foundation, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Angel Kids Foundation, Inc was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.