NPIMap

Organization Active NPI

Thrive Psychological Services

  • Psychologist
  • Vancouver, WA
National Provider Identifier
1952723538
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00003931 Issued in WA
Legal business name
THRIVE PSYCHOLOGICAL SERVICES
Practice address
1101 Broadway St Ste 230
Vancouver, WA 98660-3320
Phone
(360) 719-2852
Fax
(888) 808-8143
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Amanda V Weatherby, PH.D.
Title
President/Licensed Psychologist
Phone
(360) 719-2852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PY00003931 WA Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X LF00002510 WA

Addresses

Primary practice location

1101 Broadway St Ste 230
Vancouver, WA 98660-3320

Mailing address

1101 Broadway St Ste 230
Vancouver, WA 98660-3320

National Provider Directory

National Provider Directory

Locations

1101 Broadway St
Ste 230
Vancouver, WA 98660
Phone (360) 719-2852

Practitioners & affiliated clinicians

Practitioners 3

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1952723538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BROADWAY ST STE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603320",
            "fax_number": "888-808-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROADWAY ST STE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603320",
            "telephone_number": "360-719-2852",
            "fax_number": "888-808-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "WEATHERBY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-719-2852",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003931",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.