Individual provider Active NPI

Dyan Liticha Perreira

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1851070924
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11030858 Issued in FL
Practice address
1410 SW 20TH St
Miami, FL 33145-2836
Phone
(786) 553-6737
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9349357 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11030858 FL Primary

Addresses

Primary practice location

1410 SW 20TH St
Miami, FL 33145-2836

Mailing address

1410 SW 20TH St
Miami, FL 33145-2836
Phone (786) 553-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250508000602 NE Practitioner - Nurse Practitioner 1052838547 Reassigns benefits to 1 organization
I20250822003266 FL Practitioner - Nurse Practitioner 1052838547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12651 S Dixie Hwy
Suite 320
Pinecrest, FL 33156-5964

326 S Mount Auburn Rd
Cape Girardeau, MO 63703-4907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9349357FLMDFamily Nurse Practitioner
11030858FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Mental Health Connections LLC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Nebraska Peace of Mind Behavioral Health Family CurrentSince Apr 1, 2025 Accepting new patients

Locations

8950 SW 74th Ct
Miami, FL 33156
Phone (305) 300-3121

12651 S Dixie Hwy
Ste 320
Pinecrest, FL 33156
Phone (305) 238-9855

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1851070924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452836",
            "telephone_number": "786-553-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452836",
            "telephone_number": "786-553-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREIRA",
        "first_name": "DYAN",
        "middle_name": "LITICHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9349357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11030858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.