Center for Post Traumatic Growth

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

CENTER FOR POST TRAUMATIC GROWTH

Practice address

11344 Coloma Rd Ste 347
Gold River, CA 95670-4460

Phone

(916) 743-7673

NPI assigned

Sep 19, 2018

Last updated

Sep 20, 2018By 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. Melinda Jane Keenan, LIC. PSYCHOLOGIST

Title

Clinical Director

Phone

(720) 743-7673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1528542149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 GRASSY RUN CT",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679739",
            "telephone_number": "916-743-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD STE 347",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704460",
            "telephone_number": "916-743-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR POST TRAUMATIC GROWTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-743-7673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LIC.  PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Brown, OD
• Gwen Burson
• Harry James Buzbuzian Jr., M.D.
• Kathryn J. Cann, LCSW
• Jason Andrew Cantrill
• Lisa Mary Charlebois, L.C.S.W.
• Amanda Zhan Chen, DDS
• Stephen Keith Ching, O.D.
• Colleen Clark, LCSW
• Sandra Ind Connell, RPH

• Counseling Psychologist in Gold River, CA
• Providers in Gold River, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.