Thrivespace Psychological Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THRIVESPACE PSYCHOLOGICAL SERVICES, INC.

Practice address

1000 Quail St Ste 189
Newport Beach, CA 92660-2735

Phone

(949) 504-0464

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Richardson, PHDNPI 1679853378

Title

Ceo, Licensed Psychologist

Phone

(949) 504-0464

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Lauren Richardson, PHD

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1679853378
  NPD Authorized official

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1023769957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 189",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602735",
            "telephone_number": "949-504-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 189",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602735",
            "telephone_number": "949-504-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVESPACE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-504-0464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1679853378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daryl E Tibbs, PA-C
• Timothy Tillemans Jr.
• Janelle Tillery
• Ronald Mark Tilsen, M.D.

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.