NPIMap

Organization Active NPI

Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1790156362
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-1669 Issued in MD
Legal business name
THRIVE BEHAVIORAL HEALTH, LLC
Practice address
5720 Executive Dr Ste 100-105
Baltimore, MD 21228
Phone
(410) 780-5203
Fax
(410) 780-5205
NPI assigned
Oct 8, 2015
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mrs. Elizabeth Anne Hymel, CPA
Title
Managing Member
Phone
(410) 780-5203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-1669 MD Primary

Addresses

Primary practice location

5720 Executive Dr Ste 100-105
Baltimore, MD 21228

Mailing address

9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157
Phone (410) 780-5203

Other practice location 1

5740 Executive Dr
220
Baltimore, MD 21228-1766
Phone (410) 780-5203

Other practice location 2

5740 Executive Dr
220
Baltimore, MD 21228-1766
Phone (410) 780-5203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140624001948 MD Part B Supplier - Clinic/Group Practice 3476777947 Receives reassigned benefits from 117 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Millersville, MD; Rosedale, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Thrive Behavioral Health LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

5740 Executive Dr
Ste 220
Catonsville, MD 21228
Phone (201) 841-0085

9627 Philadelphia Rd
Ste 160
Rosedale, MD 21237
Phone (410) 780-5205

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1790156362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 PHILADELPHIA RD STE 160",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374157",
            "telephone_number": "410-780-5203",
            "fax_number": "410-780-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 EXECUTIVE DR STE 100-105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-780-5203",
            "fax_number": "410-780-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5740 Executive Dr",
            "address_2": "220",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212281766",
            "country_code": "US",
            "telephone_number": "410-780-5203",
            "fax_number": "410-780-5205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5740 Executive Dr",
            "address_2": "220",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212281766",
            "country_code": "US",
            "telephone_number": "410-780-5203",
            "fax_number": "410-780-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "HYMEL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-780-5203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-1669",
            "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 Apr 30, 2019; 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.