Thrive Mind & TMS Center LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THRIVE MIND & TMS CENTER LLC

Practice address

2405 9TH St Ste a
Wichita Falls, TX 76301-4060

Phone

(863) 214-3230

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jayanth Bolaram, MDNPI 1336251016

Title

Owner

Phone

(863) 214-3230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jayanth Bolaram, M.D.

  • Psychiatry Physician
  • Wichita Falls, TX
  • NPI 1336251016
  Authorized official Same address or phone

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1184346751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 9TH ST STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014060",
            "telephone_number": "863-214-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 9TH ST STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014060",
            "telephone_number": "863-214-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MIND & TMS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "BOLARAM",
        "authorized_official_first_name": "JAYANTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-214-3230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Thompson, LPC
• John Richard Thornton, DDS
• Shane D. Thornton, CRNA
• Karen T Thorogood, OTR
• Venkat Thota, MD
• Charles Thueson, M.D.
• Sirisha Thummalapenta
• Randy N Thurmond II
• William Lewis Tidmore, M.D.
• Alexa M Tidwell, RBT

• Psychiatry Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Psychiatry Physician in Texas

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