Active NPI
Thrive Mind Health and Holistic
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1275342123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- THRIVE MIND HEALTH AND HOLISTIC
- Practice address
- 760 Bergen St Apt 1L
Brooklyn, NY 11238-5193 - Phone
- (917) 268-7519
- Fax
- (917) 268-7664
- NPI assigned
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcel Anthony Green, MD
- Title
- Physician
- Phone
- (917) 268-7519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
760 Bergen St Apt 1L
Brooklyn, NY 11238-5193
Mailing address
760 Bergen St Apt 1L
Brooklyn, NY 11238-5193
Phone (917) 268-7519
Other names 1
- Thrive Mind Health and Holistic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/24061/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1891076329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1275342123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BERGEN ST APT 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112385193",
"telephone_number": "917-268-7519",
"fax_number": "917-268-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BERGEN ST APT 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112385193",
"telephone_number": "917-268-7519",
"fax_number": "917-268-7664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE MIND HEALTH AND HOLISTIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "MARCEL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "917-268-7519",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrive Mind Health and Holistic",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Thrive Mind Health and Holistic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.