Thrive Ad Psychology

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THRIVE AD PSYCHOLOGY

Practice address

3415 S Sepulveda Blvd Ste 1100
Los Angeles, CA 90034-7090

Phone

(310) 955-1352

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Douglas Polster, PHDNPI 1922503739

Title

Ceo

Phone

(310) 955-1352

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.

• Douglas Polster, PHD

  • Clinical Neuropsychologist
  • Los Angeles, CA
  • NPI 1922503739
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639945140",
    "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": [
        {
            "address_1": "10880 Wilshire Blvd Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900244112",
            "country_code": "US",
            "telephone_number": "310-955-1352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Montgomery St Fl 9",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941041858",
            "country_code": "US",
            "telephone_number": "310-955-1352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE AD PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2025-09-11",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "POLSTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-955-1352",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.