La Performance Psychology

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LA PERFORMANCE PSYCHOLOGY

Doing business as

Thriving Center of Psychology

Practice address

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

Phone

(310) 955-1352

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Polster, PHDNPI 1922503739

Title

Owner

Phone

(908) 642-6701

Specialties & licenses 1

Addresses

Other names 1

• Thriving Center of Psychology Doing business as

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": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1710504287",
    "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"
        },
        {
            "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": "323-597-3198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Congress Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787014076",
            "country_code": "US",
            "telephone_number": "323-597-3198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 5th Ave Ste 42",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981047097",
            "country_code": "US",
            "telephone_number": "310-955-1352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Farnam St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681021857",
            "country_code": "US",
            "telephone_number": "312-755-8519",
            "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": "323-524-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA PERFORMANCE PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "POLSTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "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": [
        {
            "organization_name": "Thriving Center of Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thriving Center of Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.