Organization Active NPI

Metamorphosis Health, Inc.-Licensed Clinical Social Worker, a Professional Corporation

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
National Provider Identifier
1306639513
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
METAMORPHOSIS HEALTH, INC.-LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Practice address
2108 N St Ste N
Sacramento, CA 95816-5712
Phone
(925) 701-1924
NPI assigned
May 28, 2025
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Priscilla Devera Pasoquen, LCSW, CCTP, CVMHPNPI 1538511829
Title
Director
Phone
(925) 701-1924

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2108 N St Ste N
Sacramento, CA 95816-5712

Mailing address

2150 Portola Ave Ste D188
Livermore, CA 94551-1784
Phone (925) 701-1924

National Provider Directory

National Provider Directory

Locations

2150 Portola Ave
Ste D188
Livermore, CA 94551
Phone (808) 721-9978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1306639513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PORTOLA AVE STE D188",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511784",
            "telephone_number": "925-701-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 N ST STE N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "925-701-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS HEALTH, INC.-LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "DEVERA PASOQUEN",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "925-701-1924",
        "authorized_official_credential": "LCSW, CCTP, CVMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.