| Mind Thrive Therapy | |
|
100 Spectrum Center Dr Ste 900 Irvine CA 92618-4974 | |
| (714) 579-9304 | |
| Not Available |
| Full Name | Mind Thrive Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Spectrum Center Dr Ste 900, Irvine, California |
| Authorized Official Name and Position | Joshua Eugene Marquez (COO) |
| Authorized Official Contact | 7145799304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Thrive Therapy 100 Spectrum Center Dr Ste 900 Irvine CA 92618-4974 Ph: (714) 579-9304 | Mind Thrive Therapy 100 Spectrum Center Dr Ste 900 Irvine CA 92618-4974 Ph: (714) 579-9304 |
| NPI Number | 1376273805 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Medicare PECOS PAC ID | 9436534328 |
|---|---|
| Medicare Enrollment ID | O20220913002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376273805 | NPI | - | NPPES |
| Provider Name | Michael James Majeski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932132735 PECOS PAC ID: 7517120736 Enrollment ID: I20120524000576 |
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