Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STEPHAN DIMITRJEVITCH APRN PMHNP
NPI 1801711403
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Q: What is Stephan Dimitrjevitch's NPI number?

The NPI number for Stephan Dimitrjevitch is 1801711403. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Q: What is Stephan Dimitrjevitch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 12, 2026

9885 SW 123RD TER, MIAMI, FL 33176(786) 801-7095 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Stephan Dimitrjevitch Aprn Pmhnp NPPES

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

STEPHAN DIMITRJEVITCH APRN PMHNP (NPI 1801711403) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (APRN11049967) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1801711403

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSTEPHAN DIMITRJEVITCHCredential: APRN PMHNP

Location Address9885 SW 123RD TERMiami, FL 33176-4935

Mailing Address13818 Sw 152nd St # 216Miami, FL 33177-1164 · (786) 801-7095

Phone(786) 801-7095

Sole ProprietorYes

Enumeration DateAugust 12, 2026

NPPES CertifiedAugust 4, 2026

✔ NPI 1801711403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11049967

9885 SW 123RD TER, Miami, FL 33176

Open in Google Maps ↗

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 Stephan Dimitrjevitch's NPI number?

The NPI number for Stephan Dimitrjevitch is 1801711403. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Stephan Dimitrjevitch located?

Stephan Dimitrjevitch practices at 9885 SW 123rd Ter, Miami, FL 33176. The listed phone number is (786) 801-7095.

What is Stephan Dimitrjevitch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Stephan Dimitrjevitch was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.