Healthcare Provider Details

I. General information

NPI: 1699240952
Provider Name (Legal Business Name): THRIVE PSYCHOLOGY PRACTICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 E GREEN ST STE 304
PASADENA CA
91101-2085
US

IV. Provider business mailing address

2336 HENRIETTA AVE
LA CRESCENTA CA
91214-3007
US

V. Phone/Fax

Practice location:
  • Phone: 818-669-4526
  • Fax:
Mailing address:
  • Phone: 818-669-4526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE POURANDRIAS
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 818-669-4526