CHILD THRIVE, LLC


Address: 7863 Broadway Ste 239, Merrillville, IN 46410-5554
Phone: 2197797339

CHILD THRIVE, LLC (NPI# 1306493465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306493465
Entity Type Organization
Organization Name CHILD THRIVE, LLC
Practice Address 7863 Broadway Ste 239
Merrillville
IN 46410-5554
Practice Telephone 2197797339
Mailing Telephone 2197797339
Enumeration Date 2019-08-23
Last Update Date 2019-08-23
Authorized Official Name DR. ANDREA BRANDON (OWNER)
Authorized Official Telephone 2197797339
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 7863 BROADWAY STE 239
City MERRILLVILLE
State IN
Zip Code 46410-5554

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1023636867 Lena Danielle Clouse Pharmacist Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 2020-07-08
1134752728 All In One Therapy, LLC Speech-Language Pathologist 1800 W 84th Drive, Merrillville, IN 46410 2020-02-21
1134759335 David John Kujawa Social Worker 8398 Mississippi St., Merrillville, IN 46410 2020-01-16
1619513603 Activate Healthcare - Plumbers Local 210 Clinic Clinic/Center 2905 E 83rd Place, Merrillville, IN 46410 2019-11-25
1568946994 Larry Smith Case Manager/Care Coordinator 233 E 83, Merrillville, IN 46410 2018-09-21
1114401536 The Sheet People Durable Medical Equipment & Medical Supplies 8874 Louisiana Street, Merrillville, IN 46410 2018-09-21
1659858439 Heather Grinder Hearing Instrument Specialist 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 2018-07-24
1710463872 Mitchell G Smith Optometrist 1601 E 81st Ave, Merrillville, IN 46410 2018-07-12
1336631753 Nwi Mobility, Inc. Durable Medical Equipment & Medical Supplies 1454 E. 86th Place, Merrillville, IN 46410 2018-06-01
1659860427 Wendell B Fleming Counselor 230 West 175th Place, Apartment I, Merrillville, IN 46410 2018-05-07
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316088628 Linda Joyce Black Psychologist 8555 Taft St, Merrillville, IN 46410-6123 2007-02-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649892985 Debra Reisinger Psychologist 1002 Wishard Blvd Ste 3120, Indianapolis, IN 46202-2872 2020-05-09
1427583863 Sarah M Ragonese Psychologist 5414 W Stonewood Dr, Bloomington, IN 47403-8010 2017-04-24
1508304023 Kress Psychological Services, LLC Psychologist 755 W Carmel Dr Ste 201, Carmel, IN 46032-5878 2017-02-03
1548421100 Uhs Midwest Center for Youth & Families Psychologist 2301 Cumberland Dr, Valparaiso, IN 46383-2537 2008-06-17
1881734697 Possibilities Northeast, LLC. Psychologist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 2007-02-08
1659439628 Jessica Alyce Bissey Psychologist 424 Washington St Ste 7, Columbus, IN 47201-6790 2006-12-04
1538103254 Iris M Crider-nash Psychologist 5218 S East St, Suite E-4, Indianapolis, IN 46227-1900 2006-06-15
1972547693 Dionne Dynlacht Psychologist 12647 Geist Cove Dr, Indianapolis, IN 46236-7239 2006-06-15
1679514533 Linda Ronald Psychologist 238 S 5th St, Richmond, IN 47374-5412 2006-06-09
1649243759 Uhs The Midwest Center for Youth & Families Psychologist 1012 W. Indiana St, Kouts, IN 46347-9703 2006-02-09
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Competitor

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City MERRILLVILLE
Zip Code 46410

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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