JACQUELINE B PEVNY MD PA
NPI 1003049743
Psychiatry & Neurology - Geriatric Psychiatry in Boca Raton, FL

Active since August 28, 2009
4201 N OCEAN BLVD APT C302, BOCA RATON, FL 33431(917) 699-4391 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Geriatric Psychiatry

About JACQUELINE B PEVNY MD PA

This page provides the complete NPI Profile along with additional information for Jacqueline B Pevny Md Pa, a provider established in Boca Raton, Florida operating as a Psychiatry & Neurology, focusing in geriatric psychiatry . The healthcare provider is registered in the NPI registry with number 1003049743 assigned on August 2009. The practitioner's primary taxonomy code is 2084P0805X with license number ME81382 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jacqeline B Pevny Md (President)

NPI
1003049743 Verify this NPI
Provider Name
JACQUELINE B PEVNY MD PA
Entity Type
Organization
Location Address
4201 N OCEAN BLVD APT C302 BOCA RATON, FL 33431
Location Phone
(917) 699-4391
Mailing Address
4201 N OCEAN BLVD APT C302 BOCA RATON, FL 33431
Mailing Phone
(917) 699-4391
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2009
Last Update Date
08-19-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Geriatric Psychiatry

Taxonomy Code
2084P0805X
Type
Allopathic & Osteopathic Physicians
License No.
ME81382
License State
FL
Taxonomy Description
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQELINE B PEVNY MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(917) 699-4391

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
4201 N OCEAN BLVD APT C302
BOCA RATON, FL 33431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003049743, enumerated as an "organization" on August 28, 2009.

The provider is located at 4201 N OCEAN BLVD APT C302 BOCA RATON, FL 33431 and the phone number is (917) 699-4391.

Psychiatry & Neurology with taxonomy code 2084P0805X and a focus in Geriatric Psychiatry.