Organization Active NPI

Thrive Behavioral Health

  • Clinical Psychologist
  • Shelby Township, MI
National Provider Identifier
1245667443
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014205 Issued in MI
Legal business name
THRIVE BEHAVIORAL HEALTH
Practice address
47100 Schoenherr Rd Ste C
Shelby Township, MI 48315-4714
Phone
(586) 744-9026
NPI assigned
Oct 2, 2013
Organization subpart
Yes
Parent organization
THRIVE BEHAVIORAL HEALTH OF MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Amy Hanes, PSYDNPI 1477697027
Title
Ceo
Phone
(586) 744-9026

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301014205 MI Primary

Addresses

Primary practice location

47100 Schoenherr Rd Ste C
Shelby Township, MI 48315-4714

Mailing address

47100 Schoenherr Rd Ste C
Shelby Township, MI 48315-4714
Phone (586) 744-9026

Other names 1

  • Thrive Behavioral Health of Michigan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417001020 MI Part B Supplier - Clinic/Group Practice 2264664630 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory
Part of
Thrive Behavioral Health of Michigan

Locations

40433 Koppernick Rd
Canton, MI 48187

40522 Hayes Rd
Ste 600
Clinton Township, MI 48038
Phone (248) 506-2179

42500 Hayes Rd
Ste 500
Clinton Twp, MI 48038
Phone (586) 828-1221

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/pimsy-thrive

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1245667443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47100 SCHOENHERR RD STE C",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154714",
            "telephone_number": "586-744-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47100 SCHOENHERR RD STE C",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154714",
            "telephone_number": "586-744-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THRIVE BEHAVIORAL HEALTH OF MICHIGAN",
        "enumeration_date": "2013-10-02",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-744-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Behavioral Health of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Behavioral Health of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.