Metamorphosis Psychology Group Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

METAMORPHOSIS PSYCHOLOGY GROUP INC

Practice address

1702 S Demaree St
Visalia, CA 93277-3934

Phone

(559) 360-7677

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Beth Coke, PHDNPI 1114302403

Title

Owner

Phone

(559) 360-7677

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Beth Coke, PH.D

  • Clinical Psychologist
  • Visalia, CA
  • NPI 1114302403
  Medicare reassignment NPD Authorized official
• Robert Glen Salomonson, PSYD

  • Clinical Psychologist
  • Corcoran, CA
  • NPI 1104570191
  Medicare reassignment NPD
• Marisa Julianna Barela, CTRS, MSW STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Visalia, CA
  • NPI 1598553778
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1861210676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1376",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932791376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932773934",
            "telephone_number": "559-360-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS PSYCHOLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "COKE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-360-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menm, LLC (Miracle Ear Center)
• Hailey Dawn Meraz, HS
• Patricia Mercado, LVN
• Gianna Navarro Merriam, LCSW
• Abiy Akalu Meshesha, M.D
• Andrew Pete Metzler, DPT
• Loren Wayne Metzler, DDS
• Laura Mevinne, LMFT
• Barry Meyer, M.D.
• Sonja Meyer, LMFT

• Clinical Psychologist in Visalia, CA
• Providers in Visalia, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.