Jacques Hector Minville, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-9353 Issued in HI

Practice address

43 Barkley Cir
Ste. 201
Fort Myers, FL 33907-4510

Phone

(239) 936-5250

Fax

(239) 936-9970

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guidance/Care Center, Inc.

  • Community/Behavioral Health Agency
  • Marathon, FL
  • NPI 1184627739
  Medicare reassignment NPD
• Guidance/Care Center, Inc.

  • Special Hospital
  • Marathon, FL
  • NPI 1720845407
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1083766224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR",
            "address_2": "STE. 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074510",
            "telephone_number": "239-936-5250",
            "fax_number": "239-936-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR",
            "address_2": "STE. 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074510",
            "telephone_number": "239-936-5250",
            "fax_number": "239-936-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINVILLE",
        "first_name": "JACQUES",
        "middle_name": "HECTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-9353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00F0223880",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "0050016700",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Journey Therapy LLC
• Moira V. Miner, RN
• Dana Dale Minick
• Robert Keith Minkes, M.D.
• Ashley Marie Minor, PA
• Jonathan Mirabal, CRNA
• Rafael Andres Mirabal Sr., FNP
• Miracles Behavior Therapy Corp
• Aldo Miralles Fernandez
• Mirna De la Caridad Miranda Boza, RBT

• Psychiatry Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.