Organization Active NPI

Brain, Beauty, Botox

  • Psychiatric/Mental Health Nurse Practitioner
  • North Palm Beach, FL
National Provider Identifier
1053144766
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRAIN, BEAUTY, BOTOX
Practice address
840 US 1 Ste 340
North Palm Beach, FL 33408-3834
Phone
(561) 800-8405
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Dahiana Rafailovitc, PMHNPNPI 1447950993
Title
Owner
Phone
(561) 800-8405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

840 US 1 Ste 340
North Palm Beach, FL 33408-3834

Mailing address

290 N Olive Ave Apt 627
West Palm Beach, FL 33401-5574
Phone (561) 800-8405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1053144766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N OLIVE AVE APT 627",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015574",
            "telephone_number": "561-800-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US 1 STE 340",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083834",
            "telephone_number": "561-800-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN, BEAUTY, BOTOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "RAFAILOVITC",
        "authorized_official_first_name": "DAHIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-800-8405",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.