Courage to Grow Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COURAGE TO GROW PSYCHOLOGICAL SERVICES INC

Practice address

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

Phone

(350) 204-3065

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Deanne Welch, PSYDNPI 1588954424

Title

PSYD, Owner

Phone

(350) 204-3065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Deanne Nicole Welch, PSYD

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1588954424
  Medicare reassignment NPD Authorized official
• Laureen A Lester, PSYD

  • Psychologist
  • Riverside, CA
  • NPI 1255651329
  NPD (past)

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1790554574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 PACIFIC AVE # 167",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073713",
            "telephone_number": "350-204-3065"
        },
        {
            "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 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "PSYD, OWNER",
        "authorized_official_telephone_number": "350-204-3065",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• County of Placer
• Courage to Grow Psychological Services
• Nathan Coutu
• Raquel Covarrubias
• Mary Ann Coverdell, RN APN
• Cynthia Lu Crabtrey
• Kayla Nicole Craig

• Clinical Psychologist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.