Organization Active NPI

Thrive Integrative Psychiatry, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • McMinnville, OR
National Provider Identifier
1629544903
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THRIVE INTEGRATIVE PSYCHIATRY, PC
Practice address
117 NW 8TH St
McMinnville, OR 97128-5560
Phone
(503) 379-0208
Fax
(503) 662-6068
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Jennifer Behnke, PMHNPNPI 1174708812
Title
President
Phone
(503) 916-9898

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

117 NW 8TH St
McMinnville, OR 97128-5560

Mailing address

117 NW 8TH St
McMinnville, OR 97128-5560
Phone (503) 379-0208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221018001845 OR Part B Supplier - Clinic/Group Practice 5890161798 Receives reassigned benefits from 1 practitioner
Practice locations: McMinnville, OR

National Provider Directory

National Provider Directory

Locations

2191 NW 2nd St
McMinnville, OR 97128
Phone (503) 434-2824

117 NW 8th St
McMinnville, OR 97128
Phone (503) 379-0208

Practitioners & affiliated clinicians

Practitioners 6

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": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1629544903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NW 8TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285560",
            "telephone_number": "503-379-0208",
            "fax_number": "503-662-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NW 8TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285560",
            "telephone_number": "503-379-0208",
            "fax_number": "503-662-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE INTEGRATIVE PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "BEHNKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-916-9898",
        "authorized_official_credential": "PMHNP"
    },
    "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 McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.