Individual provider Active NPI

Nina Chaitin

  • Counseling Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1295310647
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
MH12187 Issued in FL
Practice address
600 Sandtree Dr Ste 209
Palm Beach Gardens, FL 33403-1538
Phone
(561) 603-5114
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X MH12187 FL Primary

Addresses

Primary practice location

600 Sandtree Dr Ste 209
Palm Beach Gardens, FL 33403-1538

Mailing address

1078 Siena Oaks Cir E
Palm Beach Gardens, FL 33410-5135
Phone (561) 603-5114

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002565 FL Practitioner - Mental Health Counselor 4082063946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Brain Spa LLCGroup PAC ID 1557616182, 11 clinicians

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 3102
Jupiter, FL 33458-7189
Phone (561) 406-6561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH12187FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Brain Spa, LLC CurrentSince Nov 1, 2023 Accepting new patients
Gastroenterology Specialist Inc Past Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 3102
Jupiter, FL 33458
Phone (561) 406-6561

Organizations & group practices 2

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1295310647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 SIENA OAKS CIR E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105135",
            "telephone_number": "561-603-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR STE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031538",
            "telephone_number": "561-603-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAITIN",
        "first_name": "NINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "MH12187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.