Organization Active NPI

Thrive Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1225606452
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THRIVE PSYCHIATRIC SERVICES PLLC
Practice address
3701 W 49TH St Ste 206
Sioux Falls, SD 57106-4219
Phone
(605) 271-6582
NPI assigned
Jun 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Jeffrey Wallenberg, APRN, CNP, PMHNP-BC
Title
Pmhnp-BC, CNP
Phone
(605) 271-6582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3701 W 49TH St Ste 206
Sioux Falls, SD 57106-4219

Mailing address

3701 W 49TH St Ste 206
Sioux Falls, SD 57106-4219
Phone (605) 271-6582

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1225606452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W 49TH ST STE 206",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064219",
            "telephone_number": "605-271-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W 49TH ST STE 206",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064219",
            "telephone_number": "605-271-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "WALLENBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PMHNP-BC, CNP",
        "authorized_official_telephone_number": "605-271-6582",
        "authorized_official_credential": "APRN, CNP, PMHNP-BC"
    },
    "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 Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.