Individual provider Active NPI

Neviana Iordanova Nenov, MD, PH.D

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1194778175
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME88835 Issued in FL
Practice address
7200 West Camino Real
Suite 215
Boca Raton, FL 33433
Phone
(561) 368-8998
Fax
(561) 392-9170
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME88835 FL Primary
Psychiatry Physician 2084P0800X 213914 MA
Psychiatry Physician 2084P0800X MD.025899 LA

Addresses

Primary practice location

7200 West Camino Real
Suite 215
Boca Raton, FL 33433

Mailing address

7200 West Camino Real
Suite 215
Boca Raton, FL 33433
Phone (561) 368-8998

Other identifiers 2

IdentifierTypeStateIssuer
A35059OtherFLPROVIDER #
U4107ZOtherFLSUPPLIER NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050125000831 FL Practitioner - Psychiatry 3072563337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Boca Raton Psychiatric Group PAGroup PAC ID 1153215181, 4 clinicians

Practice addresses (Care Compare)

7100 Camino Real
Boca Raton, FL 33433-5510
Phone (561) 368-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD.025899LAMDPsychiatry Physician
213914MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dena R Barash L C S W L M F T P a Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1194778175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WEST CAMINO REAL",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-368-8998",
            "fax_number": "561-392-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WEST CAMINO REAL",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-368-8998",
            "fax_number": "561-392-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENOV",
        "first_name": "NEVIANA",
        "middle_name": "IORDANOVA",
        "name_prefix": "Dr.",
        "credential": "MD, PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME88835",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "213914",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.025899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "A35059",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER",
            "identifier": "U4107Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.