Individual provider Active NPI

Bervelie Isidor, APRN

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1346969243
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APRN11021287 Issued in FL
Practice address
7721 N Military TRL Ste 3-5
West Palm Beach, FL 33410-7429
Phone
(561) 649-6500
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11021287 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404520-01 NY
Mental Health Counselor 101YM0800X APRN11021287 FL Primary

Addresses

Primary practice location

7721 N Military TRL Ste 3-5
West Palm Beach, FL 33410-7429

Mailing address

4740 N State Road 7 Ste 201
Lauderdale Lakes, FL 33319-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221221003009 NY Practitioner - Nurse Practitioner 9537539291 Reassigns benefits to 1 organization
I20231009002482 FL Practitioner - Nurse Practitioner 9537539291 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F404520-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Carmel Health Solutions LLC CurrentSince Oct 12, 2025 Accepting new patients
Boynton Beach Florida Behavioral Health Hospital Company, LLC CurrentSince Oct 2, 2023 Accepting new patients
901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC CurrentSince Oct 2, 2023 Accepting new patients
Henderson Behavioral Health, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 25, 2025 Accepting new patients

Locations

4905 Park Ridge Blvd
Boynton Beach, FL 33426
Phone (561) 299-4164

330 SW 27th Ave
Ft Lauderdale, FL 33312
Phone (954) 463-0911

4740 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 497-3850

993 45th St
Mangonia Park, FL 33407
Phone (561) 257-3348

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

7721 N Military Trl
Ste 35
West Palm Beach, FL 33410
Phone (561) 486-0848

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 5

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1346969243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N STATE ROAD 7 STE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 N MILITARY TRL STE 3-5",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107429",
            "telephone_number": "561-649-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIDOR",
        "first_name": "BERVELIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11021287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404520-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "APRN11021287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.