Organization Active NPI

Thrive Behavioral Services

  • Behavior Analyst
  • Middletown, DE
National Provider Identifier
1528824109
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THRIVE BEHAVIORAL SERVICES
Practice address
108 Patriot Dr Ste a-5
Middletown, DE 19709-8803
Phone
(888) 433-3201
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Kizzy M. Blackwell, BCBANPI 1457004590
Title
Owner
Phone
(888) 433-3201

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
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

108 Patriot Dr Ste a-5
Middletown, DE 19709-8803

Mailing address

108 Patriot Dr Ste a-5
Middletown, DE 19709-8803
Phone (888) 433-3201

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kblackwell@thrivebehavior.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

108 Patriot Dr
Ste A5
Middletown, DE 19709
Phone (302) 803-2210

Practitioners & affiliated clinicians

Practitioners 3

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1528824109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PATRIOT DR STE A-5",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098803",
            "telephone_number": "888-433-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PATRIOT DR STE A-5",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098803",
            "telephone_number": "888-433-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "KIZZY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-433-3201",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kblackwell@thrivebehavior.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "108 Patriot Dr Ste A-5",
            "city": "Middletown",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197098803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.