THRIVE AD PSYCHOLOGY – NPI #1639945140
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

THRIVE AD PSYCHOLOGY is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1639945140 to THRIVE AD PSYCHOLOGY on November 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was last updated on Sep 11, 2025. 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 THRIVE AD PSYCHOLOGY below.

NPI Profile for
THRIVE AD PSYCHOLOGY

NPI Number
1639945140
Enumeration Date

(more than 2 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
THRIVE AD PSYCHOLOGY
Primary location
3415 S SEPULVEDA BLVD STE 1100
LOS ANGELES, CA 90034-7090
Phone: (310) 955-1352 Fax:
2 Other location(s):
10880 Wilshire Blvd Ste 1101
Los Angeles, CA 90024-4112
Phone: (310) 955-1352
315 Montgomery St Fl 9
San Francisco, CA 94104-1858
Phone: (310) 955-1352
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUGLAS POLSTER
CEO
Phone: (310) 955-1352
Updated
Certification Date
Nov 27, 2023

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
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (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.