Metamorphosis Life Revitalizing Center
NPI 1356755060ActiveOrganization· Psychologist, Clinical· Temple Terrace, FL
Psychologist, Clinical in Temple Terrace, Florida, registered in NPPES in June 2014. The authorized official on file is April Michelle Jackson-James, PHD, Managing Partner.
Overview
| NPI | 1356755060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2014 |
| Last updated in NPPES | Jun 20, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY8197 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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