Organization Active NPI

Thrive Therapeutic Services

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1710116736
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC50078684 Issued in DC
Legal business name
THRIVE THERAPEUTIC SERVICES
Practice address
3315 Spaulding Ave
Baltimore, MD 21215-5812
Phone
(443) 763-6856
Fax
(484) 822-4276
NPI assigned
Jul 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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

Authorized official

Name
Ms. Winona Alicia Nurse, LICSW
Title
Director/Ceo
Phone
(443) 763-6856

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LC50078684 DC
Community/Behavioral Health Agency 251S00000X LC50078684 DC Primary

Addresses

Primary practice location

3315 Spaulding Ave
Baltimore, MD 21215-5812

Mailing address

PO Box 68204
Baltimore, MD 21215-0027
Phone (443) 763-6856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247270400000",
    "number": "1710116736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212150027",
            "telephone_number": "443-763-6856",
            "fax_number": "484-822-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPAULDING AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155812",
            "telephone_number": "443-763-6856",
            "fax_number": "484-822-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-11",
        "last_updated": "2009-07-11",
        "status": "A",
        "authorized_official_last_name": "NURSE",
        "authorized_official_first_name": "WINONA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "443-763-6856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "DC",
            "license": "LC50078684",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "LC50078684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2009; 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.