Transformative Life Center, LLC.
NPI 1215259874ActiveOrganization· Psychologist· Matthews, NC
Psychologist in Matthews, North Carolina, registered in NPPES in February 2010. The authorized official on file is Rose Marie Leday, PH.D., Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215259874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2010 |
| Last updated in NPPES | May 15, 2025 |
| Certified by provider | May 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3909 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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