Healthcare Provider Details

I. General information

NPI: 1528640026
Provider Name (Legal Business Name): THRIVE PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CONCOURS BLDG 8
ONTARIO CA
91764-4875
US

IV. Provider business mailing address

3633 INLAND EMPIRE BLVD STE 777
ONTARIO CA
91764-7974
US

V. Phone/Fax

Practice location:
  • Phone: 909-295-5805
  • Fax: 909-235-6019
Mailing address:
  • Phone: 909-766-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERIF TOMA
Title or Position: DIRECTOR
Credential:
Phone: 909-610-2759