Metamorphic Psychiatry Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

METAMORPHIC PSYCHIATRY INC

Practice address

19452 Norwich Street
Riverside, CA 92508

Phone

(909) 588-9275

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Duk, MDNPI 1154439131

Title

Psychiatrist

Phone

(909) 588-9275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Dai Duk, MD

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1154439131
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1154157477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 VAN BUREN BLVD STE F3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089458",
            "telephone_number": "909-588-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19452 NORWICH STREET",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92508",
            "telephone_number": "909-588-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHIC PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "DUK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "909-588-9275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Meschon
• Bradley Spencer Messenger, MD
• Taylor Ellen Messick-Ngo, MD
• Sandra Luz Messinger
• Jocelyne Zambrano Garcia Mestdjian
• Metate Medical, Inc.
• Kelsey Metoyer
• Herbert Metsch, M.D.
• Katherine Metzner
• Randi Meurer, ASW

• Psychiatry Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.