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NPI Code Detail

MEDICARE: THRIVE PSYCHOLOGICAL SERVICES INC

MEDICARE: THRIVE PSYCHOLOGICAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1528640026
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVE PSYCHOLOGICAL SERVICES INC
Provider Business Mailing Address
First Line : 3633 INLAND EMPIRE BLVD STE 777
Second Line :
City : ONTARIO
State : CA
Zip : 91764-7974
Country : US
Telephone Number : 909-766-0023
Fax Number :
Provider Business Practice Location Address
First Line : 3633 INLAND EMPIRE BLVD STE 777
Second Line :
City : ONTARIO
State : CA
Zip : 91764-7974
Country : US
Telephone Number : 909-295-5805
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : SHERIF TOMA
Credential :
Telephone Number : 909-610-2759
Provider Enumeration Date : 04/23/2021
Last Update Date : 12/08/2025

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Directions to “THRIVE PSYCHOLOGICAL SERVICES INC ” Practice Location

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