Thrive Collective

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THRIVE COLLECTIVE

Practice address

1400 State St
Ottawa, IL 61350-4735

Phone

(815) 252-1824

NPI assigned

Nov 1, 2020

Last updated

Nov 8, 2020By 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

Melissa Terry, PHD, LCPNPI 1710473202

Title

Co-Owner

Phone

(815) 252-1824

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Melissa Terry, PH.D.

  • Clinical Psychologist
  • Ottawa, IL
  • NPI 1710473202
  NPD Authorized official
• Vinita Menon, PH.D.

  • Clinical Psychologist
  • Ottawa, IL
  • NPI 1750644688
  NPD

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604793600000",
    "number": "1396345906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 STATE ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504735",
            "telephone_number": "815-252-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 STATE ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504735",
            "telephone_number": "815-252-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "815-252-1824",
        "authorized_official_credential": "PHD, LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gerard Thompson, M.D.
• Jackie L Thompson, MA-CCC-A
• Samantha Thompson
• Trevor Thompson, COTA
• Julie Ann Threadgill, APRN,CNP
• Elizabeth M Thrush, RPH
• Kristina Thrush, LPC, NCC
• Timothy I Miller O.D. P.C.
• Angela Marie Todd, NP
• A Tomas, M.D.

• Clinical Psychologist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; 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.