METAMORPHOSIS PSYCHE LLC (NPI# 1356855639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356855639 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS PSYCHE LLC |
| Practice Address |
7051 West Commercial Blvd Suite 3b Tamarac FL 33319 |
| Mailing Address |
Po Box 101077 Fort Lauderdale FL 33310-1077 |
| Practice Telephone | 9549064106 |
| Practice Fax Number | 9549064029 |
| Mailing Telephone | 9549064106 |
| Mailing Fax Number | 9549064029 |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DR. CELESTE BOYD (CEO, MGR, DNP) |
| Authorized Official Telephone | 9549064106 |
| Authorized Official Credential | DNP, PMHNP-BC, F |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
9295246 | FL | Ambulatory Health Care Facilities |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | APRN | 9295246 | 01 |
| Street Address |
7051 WEST COMMERCIAL BLVD SUITE 3B |
| City | TAMARAC |
| State | FL |
| Zip Code | 33319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876733 | Amerktrans Inc | Non-emergency Medical Transport (VAN) | 7481 W Oakland Blvd, 204 C, Lauderhill, FL 33319 | 2020-09-22 |
| 1285264309 | Kevia Figueroa | Marriage & Family Therapist | 4699 N. State Road 7, Suite B1, Tamarac, FL 33319 | 2020-01-16 |
| 1922640283 | A- Plus Medical and Rehab Center Inc | Family Medicine | 4699 N.state Road 7, Suite B 2, Tamarac, FL 33319 | 2019-10-08 |
| 1538711296 | Center of Hope Healthcare, LLC | Family Medicine | 6879 W Commerical Blvd, Tamarac, FL 33319 | 2019-07-12 |
| 1518430362 | Trinity Urgent Care Corp | Clinic/Center | 5411 North State Road 7, Tamarac, FL 33319 | 2019-01-04 |
| 1073007282 | Monthia Allison Ricketts | Registered Nurse | 5841 Nw 56th Place, Tamarac, FL 33319 | 2018-06-20 |
| 1518454164 | Prudent Pharmacy | Pharmacy | 5575 N State Road 7 Ste B, Lauderdale Lakes, FL 33319 | 2018-04-19 |
| 1831603034 | Kristi Dawn Messer | Social Worker | 7491 West Oakland Park Blvd, Suite 308, Lauderhill, FL 33319 | 2017-11-27 |
| 1730693151 | Patricia Turner | Marriage & Family Therapist | 4699 N. State Rd. 7, B-1, Tamarac, FL 33319 | 2017-11-21 |
| 1205347085 | Gentle Touch Assisted Living Facility LLC | Assisted Living Facility | 4387 Nw 42 Terrace, Lauderdale Lakes, FL 33319 | 2017-10-19 |
| Find all providers in zip 33319 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179558 | Guerline Veillard | Nurse Practitioner | 6005 Nw 68th Ter, Tamarac, FL 33321-5676 | 2019-11-21 |
| 1508333816 | Janice Schiff | Nurse Practitioner | 7431 N University Dr Ste 204, Tamarac, FL 33321-2956 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.