Organization Active NPI

Thriving Minds Psychological Services LLC

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1770176034
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THRIVING MINDS PSYCHOLOGICAL SERVICES LLC
Practice address
1928 Proctor Ave
Orlando, FL 32817-4200
Phone
(407) 982-2047
Fax
(321) 319-9717
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Adriana Garcia, PSY.D.NPI 1033588660
Title
Manager
Phone
(787) 685-3424

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1928 Proctor Ave
Orlando, FL 32817-4200

Mailing address

1946 Filly TRL (Optional)
Oviedo, FL 32765
Phone (787) 685-3424

Other names 1

  • THRIVING MINDS PSYCHOLOGICAL SERVICES Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com/

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1770176034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 FILLY TRL (OPTIONAL)",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "787-685-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 PROCTOR AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174200",
            "telephone_number": "407-982-2047",
            "fax_number": "321-319-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING MINDS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-685-3424",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "electronic medical record",
            "address_1": "1928 Proctor Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328174200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "THRIVING MINDS PSYCHOLOGICAL SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.