METAMORPHOSIS LIFE REVITALIZING CENTER
NPI 1356755060
Psychologist - Clinical in Temple Terrace, FL

Q: What is Metamorphosis Life Revitalizing Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 20, 2014

11700 N 58TH ST, SUITE J, TEMPLE TERRACE, FL 33617(813) 703-2256 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Metamorphosis Life Revitalizing Center NPPES

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

METAMORPHOSIS LIFE REVITALIZING CENTER (NPI 1356755060) is a healthcare organization registered as a clinical in Temple Terrace, Florida and active in the NPI registry since June 2014. The organization lists April Michelle Jackson-james, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1356755060

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMETAMORPHOSIS LIFE REVITALIZING CENTER

Location Address11700 N 58TH ST, SUITE JTemple Terrace, FL 33617-1666

Mailing Address8430 Montravail Cir, #313Temple Terrace, FL 33637-3024 · (813) 703-2256 · Fax (813) 512-8904

Phone(813) 703-2256

Organization SubpartNo

Authorized OfficialApril Michelle Jackson-jamesManaging Partner · (813) 703-2256

Enumeration DateJune 20, 2014

✔ NPI 1356755060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY8197

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

11700 N 58TH ST, Temple Terrace, FL 33617

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARKINSONS &NEUROLOGY CLINIC LLC

Psychiatry & Neurology (Neurology)

11700 N 58TH ST
TEMPLE TERRACE, FL 33617

Hillsborough County (813) 690-6144

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 Metamorphosis Life Revitalizing Center's NPI number?

The NPI number for Metamorphosis Life Revitalizing Center is 1356755060. It was assigned to this organization in the NPPES registry on June 20, 2014.

Where is Metamorphosis Life Revitalizing Center located?

Metamorphosis Life Revitalizing Center is located at 11700 N 58th St Suite J, Temple Terrace, FL 33617. The listed phone number is (813) 703-2256.

What is Metamorphosis Life Revitalizing Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Metamorphosis Life Revitalizing Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Metamorphosis Life Revitalizing Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Metamorphosis Life Revitalizing Center was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.