Thrive Pediatric Feeding Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042290A Issued in IN

Legal business name

THRIVE PEDIATRIC FEEDING THERAPY LLC

Practice address

4120 Bellemeade Ave
Evansville, IN 47714-0612

Phone

(812) 470-6589

NPI assigned

Jul 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Page Clawson, PHDNPI 1912096207

Title

Owner

Phone

(812) 470-6589

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Page Clawson, PHD

  • Clinical Psychologist
  • Thompsons Station, TN
  • NPI 1912096207
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530662400000",
    "number": "1093201808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140612",
            "telephone_number": "812-470-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140612",
            "telephone_number": "812-470-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PEDIATRIC FEEDING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-04",
        "status": "A",
        "authorized_official_last_name": "CLAWSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-470-6589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042290A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007710607",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura M Thompson, RD
• Layne Thompson
• Leslie J Thompson, FNP
• Senta Thompson, NP
• Hannah Thorbeck, MSW
• Alison Throgmorton
• Erik B Throop, M.D.
• Richard A Tibbals, M.D.
• Tiffany Blackburn, LLC
• Natalie Tiffany

• Clinical Psychologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.