Jacqueline B Pevny MD PA

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

ME81382 Issued in FL

Legal business name

JACQUELINE B PEVNY MD PA

Practice address

4201 N Ocean Blvd Apt C302
Boca Raton, FL 33431-5359

Phone

(917) 699-4391

NPI assigned

Aug 28, 2009

Organization subpart

No

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

Authorized official

Name

Jacqeline B Pevny, MD

Title

President

Phone

(917) 699-4391

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Peter Robert Bronstein, ARNP, LMHC

  • Adult Health Nurse Practitioner
  • Lake Worth, FL
  • NPI 1033491113
  NPD (past)
• Marie Morley Herrmann, GNP

  • Gerontology Nurse Practitioner
  • Fall Branch, TN
  • NPI 1306825625
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1003049743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 N OCEAN BLVD APT C302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315359",
            "telephone_number": "917-699-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N OCEAN BLVD APT C302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315359",
            "telephone_number": "917-699-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE B PEVNY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "PEVNY",
        "authorized_official_first_name": "JACQELINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-699-4391",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME81382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Jacobs, D.D.S.
• Meghan Kelly Jacobs, PSY.D.
• Patricia Weiss Jacobs, MD
• Jodi G Jacobson, LCSW DCSW
• Mario Jacomino, MD, MPH
• Jacquelyn Granda, LLC
• Jillian Jacques
• Yveline Jacques, DNP
• Jade Acupuncture
• Hema Jadoonanan, DO

• Geriatric Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.