Jeryl D Kershner, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME97473 Issued in FL

Practice address

5841 Corporate Way Ste 200
West Palm Beach, FL 33407-2039

Phone

(561) 684-1991

NPI assigned

Jun 2, 2006

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 9, 2022 through Dec 9, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alpert Jewish Family & Children Services, Inc

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

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1841297926
  NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1346288610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-215-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHNER",
        "first_name": "JERYL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-03-17",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": "ME97473",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME97473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Keough, DMD
• Dylan Michael Kerber, APRN, PMHNP-BC
• Jennifer S. Kerbs, CNM
• James Michael Kerpsack, M.D.
• Kedasha Kerr
• Moleste Kesner
• Ketamine Health Centers of West Palm Beach, LLC
• Ketamine Treatment Centers of Princeton, LLC (Actify Neurotherapies)
• Joy Kevelson, LMHC
• Kevin J Gilbert MD PA

• Child & Adolescent Psychiatry Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.