DR. CAROLINA F. RAEBURN PSY.D.
NPI 1326699109
Clinical Neuropsychologist in Miami, FL

Active since September 24, 2019PECOS Enrolled
2000 S. DIXIE HWY, UNIT 104, MIAMI, FL 33133(786) 644-9404 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2022, Sep 24, 2019 (2 updates tracked since 2019).

About Dr. Carolina F. Raeburn Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLINA F. RAEBURN PSY.D. (NPI 1326699109) is an individual clinical neuropsychologist in Miami, Florida, licensed in Florida (PY10503) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326699109
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. CAROLINA F. RAEBURNCredential: PSY.D.
Location Address2000 S. DIXIE HWY, UNIT 104Miami, FL 33133
Mailing Address12080 Sw 127th Ave # B1-114Miami, FL 33186-6454 · (561) 247-2409
Sole ProprietorYes
Enumeration DateSeptember 24, 2019
Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1326699109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY10503
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY10503 (FL)
2000 S. DIXIE HWY, Miami, FL 33133

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carolina F. Raeburn Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carolina Raeburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Raeburn's NPI number?

The NPI number for Carolina Raeburn is 1326699109. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Carolina Raeburn located?

Carolina Raeburn practices at 2000 S. Dixie Hwy Unit 104, Miami, FL 33133. The listed phone number is (786) 644-9404.

What is Carolina Raeburn's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Carolina Raeburn enrolled in Medicare?

Yes. Carolina Raeburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolina Raeburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Raeburn reassigns Medicare benefits to Doctor On Demand Professionals P C (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolina Raeburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carolina Raeburn was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.