Organization Active NPI

Thrive Mind Health Inc.

  • Psychiatry Physician
  • Sherman Oaks, CA
National Provider Identifier
1619693256
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THRIVE MIND HEALTH INC.
Practice address
15445 Ventura Blvd. Suite 5, Box # 257
Sherman Oaks, CA 91403
Phone
(818) 342-5050
NPI assigned
Oct 14, 2022
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Dr. Maged Botros, MDNPI 1619102738
Title
Ceo
Phone
(818) 342-5050

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

15445 Ventura Blvd. Suite 5, Box # 257
Sherman Oaks, CA 91403

Mailing address

15445 Ventura Blvd. Suite 5, Box # 257
Sherman Oaks, CA 91403
Phone (818) 342-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620001507 CA Part B Supplier - Clinic/Group Practice 7911419577 Receives reassigned benefits from 23 practitioners
Practice locations: Van Nuys, CA; West Hills, CA

National Provider Directory

National Provider Directory

Locations

15445 Ventura Blvd
Ste 5
Sherman Oaks, CA 91403
Phone (310) 290-0350

6851 Lennox Ave
Ste 405
Van Nuys, CA 91405
Phone (866) 557-7924

8413 Fallbrook Ave
#200
West Hills, CA 91304
Phone (866) 557-7924

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1619693256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15445 VENTURA BLVD. SUITE 5, BOX # 257",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-342-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15445 VENTURA BLVD. SUITE 5, BOX # 257",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-342-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MIND HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-342-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.