THRIVEPATH PSYCHIATRY PLLC NPI 1760354674

NPI Information

  • NPI: 1760354674
  • Provider Name: THRIVEPATH PSYCHIATRY PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 867 BOYLSTON ST FL 5
    BOSTON, MA
    ZIP 02116
  • Phone: (774) 332-6945

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NPI Details

THRIVEPATH PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Boston, MA. THRIVEPATH PSYCHIATRY PLLC NPI is 1760354674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

867 BOYLSTON ST FL 5
BOSTON, MA
ZIP 02116-774
Phone: (774) 332-6945

The provider's authorized official is Tracy Otubu .
The authorized official title is Managing Member and has the following contact phone number (774) 332-6945.

The enumeration date for this NPI number is 9/19/2025 and was last updated on 9/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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