Mind Thrive Center LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MIND THRIVE CENTER LLC

Practice address

9010 Corbin Ave Ste 11
Northridge, CA 91324-3372

Phone

(747) 444-7731

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl M Umali, BCBANPI 1891178869

Title

Director/Founder

Phone

(747) 444-7731

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Umali, BCBA

  • Behavior Analyst
  • Northridge, CA
  • NPI 1891178869
  NPD Authorized official

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1740888650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 CORBIN AVE STE 11",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243372",
            "telephone_number": "747-444-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 CORBIN AVE STE 11",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243372",
            "telephone_number": "747-444-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22940 Schoolcraft St",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913072553",
            "country_code": "US",
            "telephone_number": "747-444-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND THRIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "UMALI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "747-444-7731",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Northridge, CA
• Providers in Northridge, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.