NPIMap

Organization Active NPI

Thrive Treatment LLC

Doing business as Thrive Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Culver City, CA
National Provider Identifier
1659089001
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THRIVE TREATMENT LLC
Doing business as
Thrive Treatment
Practice address
10837 Washington Blvd
Culver City, CA 90232-3618
Phone
(888) 975-8474
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THRIVE TREATMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Clayton Ketchum
Title
Ceo
Phone
(888) 975-8474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

10837 Washington Blvd
Culver City, CA 90232-3618

Mailing address

3101 Ocean Park Blvd Ste 200
Santa Monica, CA 90405-3054
Phone (888) 975-8474

Other names 1

  • Thrive Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thrive Treatment LLC3 organizations share this tax ID, including this one
Part of
Thrive Treatment LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10837 Washington Blvd
Culver City, CA 90232
Phone (888) 975-8474

3101 Ocean Park Blvd
Ste 200
Santa Monica, CA 90405
Phone (310) 449-1331

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1659089001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053054",
            "telephone_number": "888-975-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323618",
            "telephone_number": "888-975-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE TREATMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THRIVE TREATMENT LLC",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-975-8474"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.