NPIMap

Organization Active NPI

Thrive Therapy Center

  • Community/Behavioral Health Agency
  • Prior Lake, MN
National Provider Identifier
1114702024
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THRIVE THERAPY CENTER
Practice address
3733 Fox Tail TRL NW
Prior Lake, MN 55372-1698
Phone
(507) 350-2120
NPI assigned
Aug 29, 2023
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Mahad Mohamed
Title
Owner
Phone
(612) 438-9204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3733 Fox Tail TRL NW
Prior Lake, MN 55372-1698

Mailing address

3733 Fox Tail TRL NW
Prior Lake, MN 55372-1698
Phone (507) 350-2120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1114702024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 FOX TAIL TRL NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721698",
            "telephone_number": "507-350-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 FOX TAIL TRL NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721698",
            "telephone_number": "507-350-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-01-09",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-438-9204"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.