THRIVING CENTER OF PSYCHIATRY – NPI #1366184830
Clinic/Center

THRIVING CENTER OF PSYCHIATRY is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1366184830 to THRIVING CENTER OF PSYCHIATRY on April 13, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 4 years ago on May 02, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THRIVING CENTER OF PSYCHIATRY below.

NPI Profile for
THRIVING CENTER OF PSYCHIATRY

NPI Number
1366184830
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THRIVING CENTER OF PSYCHIATRY
Primary location
3415 S SEPULVEDA BLVD STE 1100
LOS ANGELES, CA 90034-7090
Phone: (310) 955-1352 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUGLAS POLSTER
CFO
Phone: (908) 642-6701
Updated
Certification Date
May 02, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.