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General NPI Number Information
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NPI Number | 1528640026
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Entity Type | Organization
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Legal Business Name | THRIVE PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3633 INLAND EMPIRE BLVD STE 777
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City | ONTARIO
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State | CA
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Zip | 91764-7974
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Country | US
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Telephone | 909-295-5805
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Fax |
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Provider Business Mailing Address
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Address Line | 3633 INLAND EMPIRE BLVD STE 777
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City | ONTARIO
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State | CA
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Zip | 91764-7974
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Country | US
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Telephone | 909-766-0023
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHERIF TOMA
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Credential |
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Telephone | 909-610-2759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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