CENTER FOR POST TRAUMATIC GROWTH


Address: 11344 Coloma Rd Ste 347, Gold River, CA 95670-4460
Phone: 9167437673

CENTER FOR POST TRAUMATIC GROWTH (NPI# 1528542149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528542149
Entity Type Organization
Organization Name CENTER FOR POST TRAUMATIC GROWTH
Practice Address 11344 Coloma Rd Ste 347
Gold River
CA 95670-4460
Mailing Address 5521 Grassy Run Ct
Placerville
CA 95667-9739
Practice Telephone 9167437673
Mailing Telephone 9167437673
Enumeration Date 2018-09-19
Last Update Date 2018-09-20
Authorized Official Name DR. MELINDA JANE KEENAN (CLINICAL DIRECTOR)
Authorized Official Telephone 7207437673
Authorized Official Credential LIC. PSYCHOLOGIS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 11344 COLOMA RD STE 347
City GOLD RIVER
State CA
Zip Code 95670-4460

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NPI Name Taxonomy Address Enumeration
1689297640 Blue Angels Trans LLC Non-emergency Medical Transport (VAN) 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 2020-05-26
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1174165948 Sacramento County Office of Education Clinic/Center Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 2019-10-14
1700364353 Kavneet Bindra Dentist 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 2018-08-04
1487172029 Monica Jackson Registered Nurse 3235 Gosport Way, Rancho Cordova, CA 95670 2017-09-05
1710408422 Noemi Colmenares Specialist/Technologist 11100 Coloma Rd., Rancho Cordova, CA 95670 2017-07-03
1245779552 Kristin Lyn Kaminski-wadle Student in an Organized Health Care Education/Training Program 11344 Coloma Rd Ste 515, Gold River, CA 95670 2017-02-20
1801331822 Margrette Elaine Townsend Counselor 2379 Stone River Ct, Gold River, CA 95670 2016-12-29
1164889572 Jose H Macaspac Iv Physical Therapist 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 2016-01-15
1972971620 Harry James Buzbuzian Jr. General Practice 11345 Gold Country Blvd, Gold River, CA 95670 2015-09-11
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1932716222 Changing Directions Psychological Corporation Psychologist 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 2020-09-30
1932711413 Tonja M Jackson Psychologist 23213 Lynn St, Hayward, CA 94541-7426 2020-08-17
1720606593 Brejaynae S Joiner Psychologist 2310 Mcginley Ave, Antioch, CA 94509-3819 2020-07-08
1407474596 Devjani Banerjee-stevens Psychologist 15 Williamsburg Ln Ste A, Chico, CA 95926-5520 2020-07-06
1255952842 Sarah E. Wilson, Phd, A Professional Psychology Corporation Psychologist 23 Altarinda Road, Suite 201, Orinda, CA 94563 2020-05-05
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Competitor

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City GOLD RIVER
Zip Code 95670

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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