Jacqueline B Pevny, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME81382 Issued in FL

Practice address

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

Phone

(917) 699-4391

NPI assigned

Nov 10, 2006

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Practice roles

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacqueline B Pevny

  • Geriatric Psychiatry Physician
  • Boynton Beach, FL
  • NPI 1033249180
  NPD (past) Authorized official
• Alpert Jewish Family & Children Services, Inc

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1588974950
  NPD (past)
• Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1841297926
  NPD (past)
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266
  NPD (past)
• Total Family Health Care Center Inc

  • Community/Behavioral Health Agency
  • Sunrise, FL
  • NPI 1174775662

  Psychiatry

  NPD (past)
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1114098431",
    "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",
            "fax_number": "561-265-5035"
        },
        {
            "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": {
        "last_name": "PEVNY",
        "first_name": "JACQUELINE",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME81382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Petru
• Margaret Carthas Petry, PH.D.
• Lenore Petta, RDN, LDN
• Alexandra Pettas
• Sylvia R. Petterson, M.D.P.A.
• Peymon Zarreii MD PA
• Gail M Pezzullo-Burgs, MD
• PF Adult Day Care LLC (Boca Raton Adult Day Care Center)
• PF Adult Day Care LLC
• Jenny Pham, PHARMD

• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• 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.
• 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.