Jacqueline B Pevny

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

JACQUELINE B PEVNY

Practice address

3001 S Congress Ave
Boynton Beach, FL 33426-9012

Phone

(561) 737-5600

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Jacqueline B Pevny, MDNPI 1114098431

Title

Owner

Phone

(561) 272-4888

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.

• Jacqueline B Pevny, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1114098431
  NPD (past) Authorized official
• 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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033249180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 ALTA MEADOWS LN",
            "address_2": "SUITE 1601",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441171",
            "telephone_number": "561-272-4888",
            "fax_number": "561-272-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269012",
            "telephone_number": "561-737-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE B PEVNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEVNY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-272-4888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Felix Spectrum, Inc.
• Jacob Pistor
• Marty Jacob, MD
• Sheeba Jacob, ARNP
• Maria Anz Jacobs, DNP, FNP-BC
• Julia Jacques, ARNP
• Jade Healing Collective
• Livia Angela Jaen, MD
• Lawrence Eric Jaffe, PT, SCS, ATC
• Michelle Karen Jaffe, ARNP

• All providers in Boynton Beach, FL
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.