Ejmd, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EJMD, PLLC

Practice address

3801 Pga Blvd Ste 600
Palm Beach Gardens, FL 33410-2756

Phone

(561) 815-9791

NPI assigned

Apr 27, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Evan L Jacobson, MDNPI 1629010665

Title

Psychiatrist

Phone

(561) 815-9791

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan L Jacobson, M.D.

  • Psychiatry Physician
  • Palm Beach Gardens, FL
  • NPI 1629010665
  NPD Authorized official

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1356039317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 PGA BLVD STE 600",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102756",
            "telephone_number": "561-815-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 PGA BLVD STE 600",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102756",
            "telephone_number": "561-815-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "561-815-9791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Nasser Egea, LMHC
• Michele Egerton
• Betty Jo Ehlert, PH.D.
• Einestine Tutoring LLC
• Matthew Eisen, D.C.
• Shaileen Ejtemai
• Electrophysiology Consultants Inc
• Electrophysiology Consultants, Inc.
• Ramsey R Elhosn, MD
• Denise Marie Elias Perez

• Psychiatry Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.