Individual provider Active NPI

Antonella Beretta, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1033898630
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11027440 Issued in FL
Practice address
13390 W Dixie Hwy
North Miami, FL 33161-4135
Phone
(305) 403-0654
NPI assigned
Jul 12, 2023
Last updated
Mar 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11027440 FL Primary

Addresses

Primary practice location

13390 W Dixie Hwy
North Miami, FL 33161-4135

Mailing address

13390 W Dixie Hwy
North Miami, FL 33161-4135
Phone (305) 403-0654

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305001485 FL Practitioner - Nurse Practitioner 5294170817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13390 W Dixie Hwy
North Miami, FL 33161-4135
Phone (305) 403-0654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11027440FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Gardens Community Mental Health Center of Miami Beach, Inc. CurrentSince Feb 5, 2024 Accepting new patients

Locations

1680 Meridian Ave
Ste 501
Miami Beach, FL 33139
Phone (305) 531-5341

13390 W Dixie Hwy
North Miami, FL 33161
Phone (305) 403-0654

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1033898630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13390 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614135",
            "telephone_number": "305-403-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13390 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614135",
            "telephone_number": "305-403-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERETTA",
        "first_name": "ANTONELLA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11027440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.