| Thrive Psychological Services | |
|
3633 Inland Empire Blvd Ste 777 Ontario CA 91764-7974 | |
| (909) 295-5805 | |
| Not Available |
| Full Name | Thrive Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3633 Inland Empire Blvd Ste 777, Ontario, California |
| Authorized Official Name and Position | Sherif Toma (DIRECTOR) |
| Authorized Official Contact | 9096102759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Psychological Services 3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 Ph: (909) 766-0023 | Thrive Psychological Services 3633 Inland Empire Blvd Ste 777 Ontario CA 91764-7974 Ph: (909) 295-5805 |
| NPI Number | 1528640026 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 1658744974 |
|---|---|
| Medicare Enrollment ID | O20230307000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528640026 | NPI | - | NPPES |
| Provider Name | Ruby D Varela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073642484 PECOS PAC ID: 7517228133 Enrollment ID: I20180222002008 |
| Provider Name | Peter Joel Heck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629520507 PECOS PAC ID: 2860769635 Enrollment ID: I20191010001058 |
| Provider Name | Sherif R Toma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336270305 PECOS PAC ID: 3375953599 Enrollment ID: I20201029000689 |
| Provider Name | Mina Youssef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316562390 PECOS PAC ID: 5991196669 Enrollment ID: I20220107000439 |
| Provider Name | Ann Catherine Eicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821280017 PECOS PAC ID: 3971975871 Enrollment ID: I20230201003204 |
| Provider Name | Michelle S Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144810771 PECOS PAC ID: 7315391745 Enrollment ID: I20231003003320 |
| Provider Name | Amanda Jean Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477029866 PECOS PAC ID: 8123475654 Enrollment ID: I20231106001359 |
| Provider Name | Nicole Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942638937 PECOS PAC ID: 8527417385 Enrollment ID: I20231206000944 |
| Provider Name | Ilse Aerts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174975155 PECOS PAC ID: 3476997339 Enrollment ID: I20240219002725 |
| Provider Name | Priscila Mendoza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952955049 PECOS PAC ID: 5597207308 Enrollment ID: I20240607003047 |
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