Individual provider Active NPI

Dahiana Rafailovitc, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1447950993
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11025039 Issued in FL
Practice address
2000 Palm Beach Lakes Blvd Ste 303
West Palm Beach, FL 33409-6504
Phone
(561) 303-0811
Fax
(561) 709-4585
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 11025039 FL Primary

Addresses

Primary practice location

2000 Palm Beach Lakes Blvd Ste 303
West Palm Beach, FL 33409-6504

Mailing address

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

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
I20250205001370 FL Practitioner - Nurse Practitioner 2961869375 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novaluna Mental Health LLCGroup PAC ID 6204356769, 2 clinicians

Practice addresses (Care Compare)

2000 Palm Beach Lakes Blvd
Suite 303
West Palm Beach, FL 33409-6504
Phone (561) 303-0811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025039FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boynton Beach Florida Behavioral Health Hospital Company, LLC CurrentSince Aug 29, 2023 Accepting new patients
901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC CurrentSince Oct 1, 2023 Accepting new patients
Coral Shores Behavioral Health, LLC CurrentSince Feb 18, 2025 Accepting new patients
Brain, Beauty, Botox Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients
The Brain Spa, LLC CurrentSince May 1, 2023 Accepting new patients
Novaluna Mental Health LLC Psychiatric/Mental Health CurrentSince Feb 25, 2025 Accepting new patients
Gastroenterology Specialist Inc PastSince May 1, 2023 Accepting new patients

Locations

4905 Park Ridge Blvd
Boynton Beach, FL 33426
Phone (561) 299-4164

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

993 45th St
Mangonia Park, FL 33407
Phone (561) 257-3348

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

2000 Palm Beach Lakes Blvd
Ste 303
West Palm Beach, FL 33409
Phone (561) 303-0811

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1447950993",
    "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": "2000 PALM BEACH LAKES BLVD STE 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096504",
            "telephone_number": "561-303-0811",
            "fax_number": "561-709-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAILOVITC",
        "first_name": "DAHIANA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11025039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.