Thrive Behavioral Sciences Orlando LLC
NPI 1063979730ActiveOrganization· Psychiatry & Neurology, Geriatric Psychiatry· Orlando, FL
Psychiatry & Neurology, Geriatric Psychiatry in Orlando, Florida, registered in NPPES in February 2019. The authorized official on file is Jolene De La Gardelle, Vp Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063979730 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2019 |
| Last updated in NPPES | Aug 16, 2024 |
| Certified by provider | Aug 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Geriatric Psychiatry Primary | 2084P0805X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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