Individual provider Active NPI

Emilio Duboy, MD

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1265561823
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0075481 Issued in FL
Practice address
2051 45TH St
Suite 209
West Palm Beach, FL 33407
Phone
(561) 840-1480
Fax
(561) 840-1482
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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 ME0075481 FL Primary

Addresses

Primary practice location

2051 45TH St
Suite 209
West Palm Beach, FL 33407

Mailing address

2051 45TH St
Suite 209
West Palm Beach, FL 33407
Phone (561) 840-1480

Other identifiers 1

IdentifierTypeStateIssuer
255791600MedicaidFL

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
I20080613000151 FL Practitioner - Psychiatry 7810068103 Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2051 45TH St
West Palm Beach, FL 33407-2014
Phone (561) 840-1480

2051 45TH St
Suite 201
West Palm Beach, FL 33407-2029
Phone (561) 881-4360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME75481FLMDOtolaryngic Allergy Physician
ME0075481FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons of the Treasure Coast Inc Psychiatry CurrentSince Mar 25, 2013 Accepting new patients
Rafael F Seminario MD PA Psychiatry Past Accepting new patients
JFK Medical Center Limited Partnership Past Accepting new patients
Emilio J Duboy, MD Psychiatry PastSince Aug 27, 2009 Accepting new patients

Locations

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1265561823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 45TH ST",
            "address_2": "SUITE 209",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-840-1480",
            "fax_number": "561-840-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 45TH ST",
            "address_2": "SUITE 209",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-840-1480",
            "fax_number": "561-840-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOY",
        "first_name": "EMILIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0075481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255791600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.