Thrive San Luis Obispo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVE SAN LUIS OBISPO

Practice address

1530 Monterey St Ste a
San Luis Obispo, CA 93401-2969

Phone

(805) 242-2624

NPI assigned

Sep 11, 2021

Last updated

Sep 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Joy Park, PSYDNPI 1063969921

Title

Cfo

Phone

(805) 242-2624

Specialties & licenses 1

Addresses

Locations

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.

• Sarah Joy Park, PSY.D.

  • Clinical Psychologist
  • Atascadero, CA
  • NPI 1063969921
  NPD Authorized official

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1922777069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MONTEREY ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012969",
            "telephone_number": "805-242-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MONTEREY ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012969",
            "telephone_number": "805-242-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE SAN LUIS OBISPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-242-2624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lue Thorslund
• Amanda Hannah Thorson, DO
• Emily Lynn Threlkel
• Thrifty Payless Inc (Rite Aid Pharmacy 05822)
• Thrifty Payless Inc (Rite Aid Pharmacy 05820)
• Gregory Pearce Thurston, DDS
• Roseann Tibbs, RN/CNM/NP
• Tidelands Counseling
• Amy Valentine Tidik, MA,CCC-SP
• Julia Anne Tidik, PMHNP

• Mental Health Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.