MEDICARE: THRIVE AND FEEL PSYCHOLOGY, APC

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
1	103TC0700X	Clinical Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1851983498	OTHER		NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM

General Provider Information

NPI Number	:	1932997319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE AND FEEL PSYCHOLOGY, APC

Provider Business Mailing Address
First Line	:	70 S LAKE AVE STE 810
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-4738
Country	:	US
Telephone Number	:	213-839-4768
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 S LAKE AVE STE 810
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-4738
Country	:	US
Telephone Number	:	213-839-4768
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARY KATE ROOHAN
Credential	:	PSYD
Telephone Number	:	626-755-7485

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	10/01/2025

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