Active NPI
Thriving Kids Behavioral Services, Inc.
- Behavior Analyst
- Southfield, MI
National Provider Identifier
1235885989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- THRIVING KIDS BEHAVIORAL SERVICES, INC.
- Practice address
- 17274 Magnolia Pkwy
Southfield, MI 48075-4222 - Phone
- (517) 528-8886
- NPI assigned
- Feb 22, 2022
- 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
- Mrs. Chanelle Reeves, LLPC
- Title
- Clincal Director
- Phone
- (517) 528-8886
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
17274 Magnolia Pkwy
Southfield, MI 48075-4222
Mailing address
17274 Magnolia Pkwy
Southfield, MI 48075-4222
Phone (517) 528-8886
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | creeves@thrivingkidsservices.com |
National Provider Directory
National Provider Directory- Tax ID family
- Thriving Kids Behavioral Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Southfield, MI
- NPI 1255159653
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1235885989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17274 MAGNOLIA PKWY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754222",
"telephone_number": "517-528-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17274 MAGNOLIA PKWY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754222",
"telephone_number": "517-528-8886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVING KIDS BEHAVIORAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "CHANELLE",
"authorized_official_title_or_position": "CLINCAL DIRECTOR",
"authorized_official_telephone_number": "517-528-8886",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LLPC"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "creeves@thrivingkidsservices.com",
"affiliation": "N",
"address_1": "17274 Magnolia Pkwy",
"city": "Southfield",
"state": "MI",
"country_code": "US",
"postal_code": "480754222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.