NPIMap

Organization Active NPI

Courage to Grow Psychological Services

  • Clinical Psychologist
  • Citrus Heights, CA
National Provider Identifier
1285406595
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COURAGE TO GROW PSYCHOLOGICAL SERVICES
Practice address
7921 Kingswood Dr Ste A5B
Citrus Heights, CA 95610-7710
Phone
(350) 204-3065
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Deanne Welch, PSYDNPI 1588954424
Title
Clinical Psychologist
Phone
(350) 204-3065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7921 Kingswood Dr Ste A5B
Citrus Heights, CA 95610-7710

Mailing address

6333 Pacific Ave
PO Box 167
Stockton, CA 95207-3713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1285406595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 PACIFIC AVE",
            "address_2": "PO BOX 167",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 KINGSWOOD DR STE A5B",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107710",
            "telephone_number": "350-204-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO GROW PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "350-204-3065",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.