Active NPI
Metamorphosis Behavioral Health
- Community/Behavioral Health Agency
- Miramar, FL
National Provider Identifier
1194510909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- METAMORPHOSIS BEHAVIORAL HEALTH
- Practice address
- 9996 Olive St
Miramar, FL 33025-3202 - Phone
- (954) 309-0099
- Fax
- (954) 420-8630
- NPI assigned
- Apr 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ulrick Accime
- Title
- Vice President
- Phone
- (954) 607-9178
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9996 Olive St
Miramar, FL 33025-3202
Mailing address
9996 Olive St
Miramar, FL 33025-3202
Phone (954) 309-0099
Other names 1
- Metamorphosis Behavioral Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1194510909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9996 OLIVE ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253202",
"telephone_number": "954-309-0099",
"fax_number": "954-420-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9996 OLIVE ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253202",
"telephone_number": "954-309-0099",
"fax_number": "954-420-8630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METAMORPHOSIS BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "ACCIME",
"authorized_official_first_name": "ULRICK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "954-607-9178",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Metamorphosis Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.