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1528542149 NPI number — CENTER FOR POST TRAUMATIC GROWTH

NPI Number: 1528542149
Health Care Provider/Practitioner: CENTER FOR POST TRAUMATIC GROWTH

Information about “1528542149” NPI (CENTER FOR POST TRAUMATIC GROWTH) exists in 1528542149 in HTML format HTML  |  1528542149 in plain Text format TXT  |  1528542149 in PDF (Portable Document Format) PDF  |  1528542149 in an XML format XML  formats.

NPI Number : 1528542149 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528542149",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTER FOR POST TRAUMATIC GROWTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5521 GRASSY RUN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLACERVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95667-9739",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-743-7673",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11344 COLOMA RD STE 347",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GOLD RIVER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95670-4460",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-743-7673",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2018",
    "LastUpdateDate": "09/20/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KEENAN",
    "AuthorizedOfficialFirstName": "MELINDA",
    "AuthorizedOfficialMiddleName": "JANE",
    "AuthorizedOfficialTitle": "CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LIC.  PSYCHOLOGIST",
    "AuthorizedOfficialTelephoneNumber": "720-743-7673",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC1900X",
        "TaxonomyName": "Counseling Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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