Individual provider Active NPI

Yanique Duval, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1205845757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME92587 Issued in FL
Practice address
2247 Palm Beach Lakes Blvd
Ste. 103
West Palm Beach, FL 33409-3470
Phone
(561) 687-1304
Fax
(561) 687-1306
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME92587 FL Primary

Addresses

Primary practice location

2247 Palm Beach Lakes Blvd
Ste. 103
West Palm Beach, FL 33409-3470

Mailing address

2247 Palm Beach Lakes Blvd
Ste. 103
West Palm Beach, FL 33409-3470
Phone (561) 687-1304

Other names 1

  • Yanique Brunot Former name

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
I20070102000343 FL Practitioner - Psychiatry 2466452123 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92587FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saluscare, Inc. CurrentSince Sep 25, 2018 Accepting new patients
Emerald Coast Behavioral Hospital, LLC Psychiatry CurrentSince Jun 26, 2023 Accepting new patients
Yaniue Duval MD PA Past Accepting new patients
Yanique Duval MD PA Past Accepting new patients

Locations

2789 Ortiz Ave
Fort Myers, FL 33905
Phone (229) 275-3222

3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937

1940 Harrison Ave
Panama City, FL 32405
Phone (850) 763-0017

Organizations & group practices 4

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205845757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "STE. 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "561-687-1304",
            "fax_number": "561-687-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "STE. 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "561-687-1304",
            "fax_number": "561-687-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "YANIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME92587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANIQUE",
            "last_name": "BRUNOT",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.