Organization Active NPI

Thrive Mind and Wellness Center, LLC

  • Multi-Specialty Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1972489755
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THRIVE MIND AND WELLNESS CENTER, LLC
Practice address
9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628
Phone
(954) 305-0169
NPI assigned
Aug 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Nadege Jackson
Title
Owner
Phone
(954) 305-0169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628

Mailing address

10699 Sleepy Brook Way
Boca Raton, FL 33428-5739
Phone (954) 305-0169

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1972489755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10699 SLEEPY BROOK WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285739",
            "telephone_number": "954-305-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 MARINA BLVD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286628",
            "telephone_number": "954-305-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MIND AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NADEGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-305-0169"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.