Mirielle Duperval, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

197313 Issued in NY

Practice address

391 Linden Blvd
Brooklyn, NY 11203-2823

Phone

(718) 282-1745

NPI assigned

Jul 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mirielle Duperval Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1386834083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032823",
            "telephone_number": "718-282-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032823",
            "telephone_number": "718-282-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPERVAL",
        "first_name": "MIRIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "197313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIELLE",
            "last_name": "DUPERVAL",
            "prefix": "MS.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Trish T Duong
• Wilson Duong, DDS
• Kathleen E Dupera, FNP
• Marjorie Anne Duperray-Miller
• Jacques Duperval, M.D.
• Katherine Duplessis
• Tatiana Vanessa Duplessis
• Adelle Dupont, LPN
• Anne Lyne Sophia Dupont
• Damien Alexander Dupont, MA

• Child & Adolescent Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; 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.