Therlively

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THERLIVELY

Practice address

1340 N White Chapel Blvd Ste 130
Southlake, TX 76092-4327

Phone

(817) 381-5259

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Kirby, PSYDNPI 1417306333

Title

Clinical Psychologist

Phone

(817) 381-5259

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Andrea Kirby, PSY.D.

  • Clinical Psychologist
  • Southlake, TX
  • NPI 1417306333
  NPD Authorized official

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1063282929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N WHITE CHAPEL BLVD STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924327",
            "telephone_number": "817-381-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N WHITE CHAPEL BLVD STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924327",
            "telephone_number": "817-381-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERLIVELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "817-381-5259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Helen Thomas Randel, PHD PSYCHOLOGIST
• Aaron Alexander Thomas, MD
• Deborah Naomi Thomas
• Lauren Albus Thomas, PT, DPT, CEAS
• Shannon Thomas, LCSW

• Clinical Psychologist in Southlake, TX
• Providers in Southlake, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.