NPIMap

Organization Active NPI

Thrive Therapy & Social Center

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1770905929
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13446 Issued in CA
Legal business name
THRIVE THERAPY & SOCIAL CENTER
Practice address
25 Post St
San Jose, CA 95113-2411
Phone
(408) 484-1028
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Mitra Ahani, CCC-SLP
Title
Program Director
Phone
(408) 484-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 13446 CA Primary

Addresses

Primary practice location

25 Post St
San Jose, CA 95113-2411

Mailing address

25 Post St
San Jose, CA 95113-2411
Phone (408) 484-1028

National Provider Directory

National Provider Directory
Tax ID family
Thirve Therapy and Social Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1101 S Winchester Blvd
Ste B110
San Jose, CA 95128
Phone (408) 484-1028

25 Post St
San Jose, CA 95113
Phone (408) 418-0303

Practitioners & affiliated clinicians

Practitioners 103

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.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1770905929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132411",
            "telephone_number": "408-484-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132411",
            "telephone_number": "408-484-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPY & SOCIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "AHANI",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "408-484-1028",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.