Christal Louise Da Mata, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11016039 Issued in FL

Practice address

21301 Powerline Rd Ste 103
Boca Raton, FL 33433-2389

Phone

(561) 235-5205

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Christal Louise Rice Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD
• Direct secure messaging: christal.rice@1069591214882820.direct.elationemr.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GIFIBA
• Direct secure messaging: christal.rice.p1@direct.hillsdalepulmanry.nextgenshare.com

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.

• Flagler Medical Associates PA

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1295896025
  Medicare reassignment NPD
• Golden Years NP Care LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lake Worth, FL
  • NPI 1639059934
  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420

  FL

  Medicare reassignment
• Altha Mental Health Institute LLC

  • Adult Mental Health Clinic/Center
  • Boca Raton, FL
  • NPI 1699531905

  Psychiatric/Mental Health

  NPD (past)
• Advanced Veins and Vascular Management PLC

  • Vascular Surgery Physician
  • Hillsdale, MI
  • NPI 1972158566
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1750860367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 SW BELMONT CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537103",
            "telephone_number": "279-718-8835",
            "fax_number": "772-673-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332389",
            "telephone_number": "561-235-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 S Jog Rd",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334674160",
            "country_code": "US",
            "telephone_number": "561-332-1762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1552 Palm Beach Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334012302",
            "country_code": "US",
            "telephone_number": "561-659-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DA MATA",
        "first_name": "CHRISTAL",
        "middle_name": "LOUISE",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704263161",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704263161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016039",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11016039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "0000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTAL",
            "last_name": "RICE",
            "middle_name": "LOUISE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeannette Marie D'Amore, LMHC
• Lisa D'Augelli, M.S.
• D/B/a East Boca Counseling
• Joyce Da Costa Mesquita
• Victoria Da Cunha Ribeiro Campo
• Katia Alessandra Da Silva Costa, FNP
• Paula Da Silva, DNP
• Albert Dabbah, MD
• Atef Dabbech, SOLE PROPRIETOR
• Nicole Dabul, DPM

• Psychiatric/Mental Health Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.