NPIMap

Organization Active NPI

Thrive Behavioral Sciences Tampa LLC

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1962989806
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THRIVE BEHAVIORAL SCIENCES TAMPA LLC
Practice address
5510 N Hesperides St
Tampa, FL 33614-5414
Phone
(813) 467-6111
Fax
(813) 467-6013
NPI assigned
Jul 24, 2018
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Jolene De la GardelleNPI 1194835801
Title
VP - Operations
Phone
(813) 277-4571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Psychiatry Physician 2084P0800X NU Primary
Geriatric Psychiatry Physician 2084P0805X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

5510 N Hesperides St
Tampa, FL 33614-5414

Mailing address

5510 N Hesperides St
Tampa, FL 33614-5414
Phone (813) 277-4571

Other practice location 1

703 Virginia St
Dunedin, FL 34698-6615
Phone (727) 418-2567

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lomonico@thrivebehavioralsciences.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181231000019 FL Part B Supplier - Clinic/Group Practice 2961747506 Receives reassigned benefits from 28 practitioners
Practice locations: St Petersburg, FL; Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1962989806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N HESPERIDES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145414",
            "telephone_number": "813-277-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 N HESPERIDES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145414",
            "telephone_number": "813-467-6111",
            "fax_number": "813-467-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346986615",
            "country_code": "US",
            "telephone_number": "727-418-2567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE BEHAVIORAL SCIENCES TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "DE LA GARDELLE",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "VP - OPERATIONS",
        "authorized_official_telephone_number": "813-277-4571"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lomonico@thrivebehavioralsciences.com",
            "affiliation": "N",
            "endpointDescription": "Office for practice management",
            "address_1": "5510 N Hesperides St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336145414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.