Active NPI
Thrive Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1114717501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- THRIVE PSYCHIATRY LLC
- Practice address
- 3707 E Southern Ave
Mesa, AZ 85206-2569 - Phone
- (480) 849-9201
- NPI assigned
- May 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Anderson
- Title
- Owner/Authorized Official
- Phone
- (480) 228-0339
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3707 E Southern Ave
Mesa, AZ 85206-2569
Mailing address
3707 E Southern Ave
Mesa, AZ 85206-2569
Phone (480) 849-9201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
701 NE 136th Ave
Vancouver, WA 98684
Phone (480) 228-0339
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
- NPI 1235836743
WA
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
- NPI 1487545372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746662400000",
"number": "1114717501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "480-849-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "480-849-9201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "480-228-0339"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.