Active NPI
Thriving Center of Psychiatry
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
National Provider Identifier
1366184830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THRIVING CENTER OF PSYCHIATRY
- Practice address
- 3415 S Sepulveda Blvd Ste 1100
Los Angeles, CA 90034-7090 - Phone
- (310) 955-1352
- NPI assigned
- Apr 13, 2022
- 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. Douglas Polster, PHD
- Title
- Cfo
- Phone
- (908) 642-6701
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3415 S Sepulveda Blvd Ste 1100
Los Angeles, CA 90034-7090
Mailing address
3415 S Sepulveda Blvd Ste 1100
Los Angeles, CA 90034-7090
Phone (310) 955-1352
National Provider Directory
National Provider DirectoryLocations
3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Los Angeles, CA
- NPI 1922503739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1366184830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 S SEPULVEDA BLVD STE 1100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900347090",
"telephone_number": "310-955-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 S SEPULVEDA BLVD STE 1100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900347090",
"telephone_number": "310-955-1352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVING CENTER OF PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-13",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "POLSTER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "908-642-6701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Thrive Sexual Health
- Thrive Sports and Wellness
- Thrive Therapy, Inc.
- Thrive With DPT
- Thriveworks Community LLC
- Throne of Grace Hospice Inc.
- Through the Mist Therapy
- Through the Woods Family Therapy Center, a Professional Corporation (Through the Woods Therapy Center)
- Carol J Thrun, MD
- Jeremy Eric Thulemeyer, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.