Thrive Psychology Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THRIVE PSYCHOLOGY SERVICES, LLC

Practice address

4120 W Dresden Dr
Bloomington, IN 47404-8403

Phone

(562) 706-5175

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Kloster, PH.D.

Title

Member

Phone

(562) 706-5175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1053894501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 E 10TH ST UNIT 5163",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082753",
            "telephone_number": "562-706-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W DRESDEN DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474048403",
            "telephone_number": "562-706-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "KLOSTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "562-706-5175",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Thompson, PHD
• Vicky Thompson
• Thanita Thongtan, MD
• Kay Thorbecke
• Summer Thorne, RBT
• Luke Throckmorton, PHARM D.
• Jodie Lea Thummel, NP
• Floyd Edward Thurston, M.D.
• Anna Ablamowicz Tichenor, O.D.
• Elysia Tieman, PT, DPT

• Clinical Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.