Thrive Psychiatric & Medication LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THRIVE PSYCHIATRIC & MEDICATION LLC

Doing business as

Thrive Psychiatric & Medication LLC

Practice address

1220 N Main St
Newcastle, OK 73065-4175

Phone

(405) 703-9942

NPI assigned

May 7, 2021

Organization subpart

No

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

Authorized official

Name

Tanya Marie Rennie, APRNNPI 1417336348

Title

Owner

Phone

(405) 703-9942

Specialties & licenses 1

Addresses

Other names 1

• Thrive Psychiatric & Medication LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Thrive Psychiatric Medication LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thrive Psychiatric & Medication LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newcastle, OK
  • NPI 1073195079
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanya Rennie, RN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newcastle, OK
  • NPI 1417336348
  Medicare reassignment NPD Authorized official
• Jorja Stevenson, APRN-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Moore, OK
  • NPI 1740048875
  NPD

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1760066633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST STE 4",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730654175",
            "telephone_number": "405-703-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730654175",
            "telephone_number": "405-703-9942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1491 S Sunnylane Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731153037",
            "country_code": "US",
            "telephone_number": "405-703-9942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE PSYCHIATRIC & MEDICATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "RENNIE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-703-9942",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Psychiatric & Medication LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Psychiatric & Medication LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Newcastle, OK
• Providers in Newcastle, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.