Thrive Behavioral Sciences Orlando Llc - Medicare Mental Health Clinic in Orlando, FL

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Thrive Behavioral Sciences Orlando Llc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Geriatric Psychiatry) in Orlando, Florida. The current practice location for Thrive Behavioral Sciences Orlando Llc is 4700 Millenia Blvd Ste 500, Orlando, Florida. For appointments, you can reach them via phone at (813) 467-6111. The mailing address for Thrive Behavioral Sciences Orlando Llc is 5510 N Hesperides St, Tampa, Florida and phone number is (813) 277-4571.

Thrive Behavioral Sciences Orlando Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063979730. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (813) 467-6111.

Contact Information

Thrive Behavioral Sciences Orlando Llc
4700 Millenia Blvd Ste 500
Orlando
FL 32839-6019
(813) 467-6111
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameThrive Behavioral Sciences Orlando Llc
SpecialityPsychiatry & Neurology
Location4700 Millenia Blvd Ste 500, Orlando, Florida
Authorized Official Name and PositionJolene De La Gardelle (VP OPERATIONS)
Authorized Official Contact8132774571
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thrive Behavioral Sciences Orlando Llc
5510 N Hesperides St
Tampa
FL 33614-5414

Ph: (813) 277-4571		Thrive Behavioral Sciences Orlando Llc
4700 Millenia Blvd Ste 500
Orlando
FL 32839-6019

Ph: (813) 467-6111

NPI Details:

NPI Number1063979730
Provider Enumeration Date02/28/2019
Last Update Date08/16/2024
Certification Date08/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9739420654
Medicare Enrollment IDO20190402002627

Medical Identifiers

Medical identifiers for Thrive Behavioral Sciences Orlando Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063979730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Thrive Behavioral Sciences Orlando Llc acts as a billing entity for following providers:
Provider NameJanis A Glover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285887570
PECOS PAC ID: 6002979788
Enrollment ID: I20090106000714
Provider NameShatha Atiya
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487814729
PECOS PAC ID: 8426107202
Enrollment ID: I20090527000596
Provider NameMajid Shams
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1922078179
PECOS PAC ID: 2365627338
Enrollment ID: I20110506000627
Provider NameChrystel D Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912256322
PECOS PAC ID: 0749432342
Enrollment ID: I20121205000464
Provider NameSusan E Dees
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396170031
PECOS PAC ID: 4284868530
Enrollment ID: I20130930000150
Provider NameIris Maria Bravo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619348752
PECOS PAC ID: 6507167988
Enrollment ID: I20151209002515
Provider NameBetty C Chukwuma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285093062
PECOS PAC ID: 7810289402
Enrollment ID: I20160629002490
Provider NameNicole M Whitt
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1205381977
PECOS PAC ID: 6608163936
Enrollment ID: I20160929001519
Provider NameMeredith M Brainard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912455981
PECOS PAC ID: 0840578597
Enrollment ID: I20161031002047
Provider NameKristopher Stewart Oldham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619357787
PECOS PAC ID: 7315250248
Enrollment ID: I20161119000257
Provider NameLauren Frye
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376939629
PECOS PAC ID: 7416236146
Enrollment ID: I20161119000413
Provider NameJessica Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811300510
PECOS PAC ID: 2365725827
Enrollment ID: I20170207001058
Provider NameToni D Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588195754
PECOS PAC ID: 3476830332
Enrollment ID: I20170502000002
Provider NameDawn Marie Addison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558743583
PECOS PAC ID: 5991019226
Enrollment ID: I20170601002269
Provider NameRuchia Handy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588131312
PECOS PAC ID: 7911242656
Enrollment ID: I20181227000583
Provider NameYvonka S Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548681190
PECOS PAC ID: 1658605084
Enrollment ID: I20190619000058
Provider NameLouella C Marinos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689230591
PECOS PAC ID: 7618202565
Enrollment ID: I20190715001347
Provider NameJessie Mayne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134513369
PECOS PAC ID: 1153632070
Enrollment ID: I20191008001027
Provider NameFabian Alexandro Consbruck
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740764158
PECOS PAC ID: 5193158095
Enrollment ID: I20191206002230
Provider NameLisa Ann Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467932525
PECOS PAC ID: 9537594932
Enrollment ID: I20200113001524
Provider NameAmy L Fiessinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578751533
PECOS PAC ID: 1355594672
Enrollment ID: I20200128001097
Provider NameSusan T. Addis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063533446
PECOS PAC ID: 4082505003
Enrollment ID: I20200326003715
Provider NameMichelle M Cordero Soto
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1689007734
PECOS PAC ID: 9931539814
Enrollment ID: I20200416001026
Provider NameMairelis De La Cruz Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588295919
PECOS PAC ID: 6305268491
Enrollment ID: I20200618000903
Provider NameJoselene Martinez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1245577261
PECOS PAC ID: 7810317930
Enrollment ID: I20201012001114
Provider NameKristen L Jalovecky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780290247
PECOS PAC ID: 0749600765
Enrollment ID: I20201013002387
Provider NameValerie M Acosta
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1255773586
PECOS PAC ID: 5991112062
Enrollment ID: I20210408000523
Provider NameTamara Velazquez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1053521062
PECOS PAC ID: 3870992399
Enrollment ID: I20210602002866
Provider NameBahattin Ergin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386312023
PECOS PAC ID: 9335546258
Enrollment ID: I20210920003347
Provider NameSharon Sarig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669830311
PECOS PAC ID: 8224435797
Enrollment ID: I20210927000590
Provider NameDeonne L Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770172512
PECOS PAC ID: 0042617490
Enrollment ID: I20210928000524
Provider NameKimberly A Whitchard
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1104192954
PECOS PAC ID: 2264692375
Enrollment ID: I20211005003708
Provider NameAnquanette Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881360493
PECOS PAC ID: 6507256070
Enrollment ID: I20211124001764
Provider NameJesselin Diamond Tinsley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447922745
PECOS PAC ID: 6103216270
Enrollment ID: I20211203000769
Provider NameEmily Burch
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992477087
PECOS PAC ID: 1557752052
Enrollment ID: I20211216001606
Provider NameMayra Liz Lugo-gonzalez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1255610531
PECOS PAC ID: 3577956416
Enrollment ID: I20220217000017
Provider NameJeanne P Girodier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891303186
PECOS PAC ID: 6507240009
Enrollment ID: I20220901001770
Provider NameLuis Wilfredo Lopez-rodriguez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1619502846
PECOS PAC ID: 9830565068
Enrollment ID: I20221013000609
Provider NameNicole Duncan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891452306
PECOS PAC ID: 2466828488
Enrollment ID: I20221017001778
Provider NameIsamar Padilla
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437627817
PECOS PAC ID: 8123494713
Enrollment ID: I20221024000766
Provider NameMaria Ximena Duarte
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316282817
PECOS PAC ID: 4385011725
Enrollment ID: I20221027002662
Provider NameSamuel O Battle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013635150
PECOS PAC ID: 9436527835
Enrollment ID: I20221116000120
Provider NameRachel Nichole Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003550328
PECOS PAC ID: 7416322565
Enrollment ID: I20230404000433
Provider NameJamie D Guy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053030015
PECOS PAC ID: 7810352614
Enrollment ID: I20230501001701
Provider NameTrisha Berbick-stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912608522
PECOS PAC ID: 8628434933
Enrollment ID: I20230511001242
Provider NameBreona Lashay Alvarado
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1679261242
PECOS PAC ID: 3870954522
Enrollment ID: I20230728000267
Provider NameJennifer St Louis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992582456
PECOS PAC ID: 5496104507
Enrollment ID: I20231214003326
Provider NameSonya Champion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578345922
PECOS PAC ID: 6608227772
Enrollment ID: I20240112003309
Provider NameAshley Elizabeth Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861869448
PECOS PAC ID: 2163874074
Enrollment ID: I20240116004091
Provider NameGary James Alhemovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295590610
PECOS PAC ID: 7911343249
Enrollment ID: I20240308003493
Provider NameBarbara Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407637077
PECOS PAC ID: 3577001650
Enrollment ID: I20240820004047
Provider NameJanet Heyden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669845731
PECOS PAC ID: 1254863509
Enrollment ID: I20241011002568
Provider NameAna Teresa Alcala-calderon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1619517364
PECOS PAC ID: 2961935853
Enrollment ID: I20241030004283
Provider NameJeanne Chatie Percy-rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255809125
PECOS PAC ID: 0345581070
Enrollment ID: I20241125003341
Provider NameMelissa Dole
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437502051
PECOS PAC ID: 6608302674
Enrollment ID: I20241213002018

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.