METAMORPHOSIS PSYCHIATRY LLC
NPI 1972479582
Nurse Practitioner - Psychiatric/Mental Health in Northfield, VT
About Metamorphosis Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METAMORPHOSIS PSYCHIATRY LLC (NPI 1972479582) is a healthcare organization registered as a psychiatric/mental health in Northfield, Vermont and active in the NPI registry since October 2025. The organization lists Carolyn Gaeckle, Owner And Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Psychiatry Llc 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 Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Psychiatry LLC's NPI number?
The NPI number for Metamorphosis Psychiatry LLC is 1972479582. It was assigned to this organization in the NPPES registry on October 13, 2025.
Where is Metamorphosis Psychiatry LLC located?
Metamorphosis Psychiatry LLC is located at 454 Freeman Rd, Northfield, VT 05663. The listed phone number is (802) 216-8480.
What is Metamorphosis Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Metamorphosis Psychiatry LLC enrolled in Medicare?
Yes. Metamorphosis Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Metamorphosis Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Metamorphosis Psychiatry LLC. 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 Psychiatry LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Metamorphosis Psychiatry Llc · NPI 1972479582
Psychiatric/Mental Health organization in Northfield, Vermont. Organization record, active in the CMS NPPES registry since October 13, 2025.
## Identity
- **NPI:** 1972479582 (Entity type: Organization)
- **Enumerated:** October 13, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Carolyn Gaeckle, OWNER AND PROVIDER
## Practice location
- **Address:** 454 FREEMAN RD, Northfield, VT 05663-6230
- **Phone:** (802) 216-8480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972479582) · Data from the CMS NPPES public registry.