Thrive Psychological Services
NPI 1275417610ActiveOrganization· Psychologist· South Bend, IN
Psychologist in South Bend, Indiana, registered in NPPES in July 2025. The authorized official on file is Matthew Scott Jackson, PHD, Clinical Psychologist, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275417610 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2025 |
| Last updated in NPPES | Jul 31, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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