METAMORPHOSIS PSYCHOLOGY GROUP INC
NPI 1861210676
Psychologist - Clinical in Visalia, CA

Active since September 30, 2024
1702 S DEMAREE ST, VISALIA, CA 93277(559) 360-7677 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Metamorphosis Psychology Group Inc NPPES

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

METAMORPHOSIS PSYCHOLOGY GROUP INC (NPI 1861210676) is a healthcare organization registered as a clinical in Visalia, California and active in the NPI registry since September 2024. The organization lists Beth Coke, Owner, as its authorized official.

NPPES Registry Identity

NPI1861210676
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMETAMORPHOSIS PSYCHOLOGY GROUP INC
Location Address1702 S DEMAREE STVisalia, CA 93277-3934
Mailing AddressPo Box 1376Visalia, CA 93279-1376
Organization SubpartNo
Authorized OfficialBeth CokeOwner · (559) 360-7677
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1861210676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1702 S DEMAREE ST, Visalia, CA 93277

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Metamorphosis Psychology Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Metamorphosis Psychology Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1114302403
1702 S DEMAREE ST
Visalia, CA 93277
(559) 360-7677
✔ PECOS✔ Accepts MedicareSame address

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 Metamorphosis Psychology Group Inc's NPI number?

The NPI number for Metamorphosis Psychology Group Inc is 1861210676. It was assigned to this organization in the NPPES registry on September 30, 2024.

Where is Metamorphosis Psychology Group Inc located?

Metamorphosis Psychology Group Inc is located at 1702 S Demaree St, Visalia, CA 93277. The listed phone number is (559) 360-7677.

What is Metamorphosis Psychology Group Inc's specialty?

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

Is Metamorphosis Psychology Group Inc enrolled in Medicare?

Yes. Metamorphosis Psychology Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Metamorphosis Psychology Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Metamorphosis Psychology Group Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Metamorphosis Psychology Group Inc was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.