Individual provider Active NPI

Dawna Lee Bone, PSY.D.

  • Counseling Psychologist
  • Port St Lucie, FL
National Provider Identifier
1811040686
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY7004 Issued in FL
Practice address
5445 NW Edgewater Ave
Port St Lucie, FL 34983-1420
Phone
(850) 450-3587
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7004 FL
Cognitive & Behavioral Psychologist 103TB0200X
Counseling Psychologist 103TC1900X PY7004 FL Primary

Addresses

Primary practice location

5445 NW Edgewater Ave
Port St Lucie, FL 34983-1420

Mailing address

398 Sweetgum St
Yulee, FL 32097-0085
Phone (850) 450-3587

Other practice location 1

398 Sweetgum St
Yulee, FL 32097-0085
Phone (850) 450-3597

Other practice location 2

1555 NW St. Lucie West Blvd
Suite 201
Port St. Lucie, FL 34986
Phone (772) 878-7216

Other practice location 3

9009 University Pkwy Apt 34
Pensacola, FL 32514-9409
Phone (850) 450-3587

Other identifiers 3

IdentifierTypeStateIssuer
74364OtherFLBLUE CROSS BLUE SHIELD
159157OtherFLVALUE OPTIONS
FL2114OtherFLBRADMAN UNIPSYCH

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
I20180117001660 FL Practitioner - Clinical Psychologist 6204195357 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformative Healthcare Solutions Gold Coast LLCGroup PAC ID 1557882768, 3 clinicians
Transformative Healthcare Solutions IncGroup PAC ID 8921337973, 27 clinicians

Practice addresses (Care Compare)

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7004FLMDPsychologist

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Moving Forward Psychology Services Counseling CurrentSince Jan 1, 2024 Accepting new patients
Transformative Healthcare Solutions North LLC CurrentSince Feb 10, 2025 Accepting new patients
Transformative Healthcare Solutions West LLC CurrentSince Feb 10, 2025 Accepting new patients
Transformative Healthcare Solutions East LLC CurrentSince Feb 10, 2025 Accepting new patients
Transformative Healthcare Solutions South LLC CurrentSince Feb 10, 2025 Accepting new patients
Transformative Healthcare Solutions Central LLC CurrentSince Jan 2, 2025 Accepting new patients
Transformative Healthcare Solutions Gold Coast LLC CurrentSince Feb 10, 2025 Accepting new patients
Mental Health Center of Florida PA CurrentSince Jan 21, 2020 Accepting new patients
Transformative Healthcare Solutions Inc CurrentSince Jan 21, 2020 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients

Locations

1321 NE 24th Ave
Cape Coral, FL 33909
Phone (239) 294-2180

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

4243 Sunbeam Rd
Ste 8
Jacksonville, FL 32257

160 Treemonte Dr
Orange City, FL 32763
Phone (386) 423-0505

9381 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 220-0302

4820 W Gandy Blvd
Tampa, FL 33611

3710 14th St
Vero Beach, FL 32960
Phone (772) 564-0063

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1811040686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 SWEETGUM ST",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970085",
            "telephone_number": "850-450-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 NW EDGEWATER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831420",
            "telephone_number": "850-450-3587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 Sweetgum St",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320970085",
            "country_code": "US",
            "telephone_number": "850-450-3597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 NW St. Lucie West Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Port St. Lucie",
            "state": "FL",
            "postal_code": "34986",
            "country_code": "US",
            "telephone_number": "772-878-7216",
            "fax_number": "772-878-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9009 University Pkwy Apt 34",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325149409",
            "country_code": "US",
            "telephone_number": "850-450-3587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONE",
        "first_name": "DAWNA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7004",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY7004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "74364",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "159157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRADMAN UNIPSYCH",
            "identifier": "FL2114",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.