Yves S Eveillard, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0053634 Issued in FL

Practice address

3420 NW 91St Ave
Hollywood, FL 33024-8178

Phone

(954) 848-4929

NPI assigned

Apr 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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 and National Provider Directory roles.

• Pro Bono Care LLC

  • Adult Mental Health Clinic/Center
  • Hollywood, FL
  • NPI 1922443613
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1629211560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 NW 91ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 NW 91ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248178",
            "telephone_number": "954-848-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVEILLARD",
        "first_name": "YVES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0053634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489379-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnny Rosly Eugene, PHARMD
• Charlotte Evans, LCSW
• Lillian Evans, MD
• Linda Ann Evans, PH.D.
• Teresa Anne Evans, MD
• Evelyn'S Place Inc
• Evidence Base Medical
• Evolution Care Services LLC
• Evolving Wisdom
• Valeriya Evseeva

• Psychiatry Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.