Active NPI
Amanda Metze, LPA
- Psychologist
- Jacksonville, NC
National Provider Identifier
1609210475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4445
- Practice address
- 200 Tarpon TRL
Jacksonville, NC 28546-5287 - Phone
- (910) 938-1114
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4445 | NC | Primary |
Addresses
Primary practice location
200 Tarpon TRL
Jacksonville, NC 28546-5287
Mailing address
200 Charleston LN Apt 207
Jacksonville, NC 28546-7135
Phone (859) 322-1599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4445 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1609210475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CHARLESTON LN APT 207",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467135",
"telephone_number": "859-322-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TARPON TRL",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465287",
"telephone_number": "910-938-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZE",
"first_name": "AMANDA",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.