Provider Demographics
NPI:1073395901
Name:THRIVE PSYCHOLOGICAL CENTER
Entity Type:Organization
Organization Name:THRIVE PSYCHOLOGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:645-450-0995
Mailing Address - Street 1:317 HARRINGTON AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1911
Mailing Address - Country:US
Mailing Address - Phone:646-450-0995
Mailing Address - Fax:
Practice Address - Street 1:317 HARRINGTON AVE STE 9
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-1911
Practice Address - Country:US
Practice Address - Phone:646-450-0995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty