Organization Active NPI

Metamorphosis Psyche LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1356855639
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
METAMORPHOSIS PSYCHE LLC
Practice address
8333 W McNab Rd Ste 200
Tamarac, FL 33321-3203
Phone
(954) 906-4106
Fax
(954) 906-4029
NPI assigned
Nov 26, 2017
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Celeste Boyd, DNP, PMHNP-BC, FNP-CNPI 1962743856
Title
Ceo, MGR, DNP
Phone
(954) 906-4106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 9295246 FL
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

8333 W McNab Rd Ste 200
Tamarac, FL 33321-3203

Mailing address

PO Box 101077
Fort Lauderdale, FL 33310-1077
Phone (954) 906-4106

Other identifiers 1

IdentifierTypeStateIssuer
9295246OtherFLAPRN

National Provider Directory

National Provider Directory

Locations

7051 W Commercial Blvd
Ste 3B
Lauderhill, FL 33319

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1356855639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101077",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333101077",
            "telephone_number": "954-906-4106",
            "fax_number": "954-906-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 200",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "954-906-4106",
            "fax_number": "954-906-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS PSYCHE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "CEO, MGR, DNP",
        "authorized_official_telephone_number": "954-906-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "9295246",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "9295246",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.