NPIMap

Organization Active NPI

Sixth Avenue Psychiatric Rehabilitation Partners, Inc.

  • Community/Behavioral Health Agency
  • Hendersonville, NC
National Provider Identifier
1801948674
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIXTH AVENUE PSYCHIATRIC REHABILITATION PARTNERS, INC.
Practice address
522 Kanuga Rd
Hendersonville, NC 28739-5226
Phone
(828) 697-1581
Fax
(828) 697-4492
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Teresa Smith Drevar
Title
Admin. Services MGR.
Phone
(828) 489-3893

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X MHL-045-070 NC
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

522 Kanuga Rd
Hendersonville, NC 28739-5226

Mailing address

522 Kanuga Rd
Hendersonville, NC 28739-5226
Phone (828) 697-1581

Other identifiers 2

IdentifierTypeStateIssuer
9301703MedicaidNC
6006050MedicaidNC

Other names 1

  • Thrive Doing business as

National Provider Directory

National Provider Directory

Locations

525 N Justice St
Hendersonville, NC 28739
Phone (828) 697-1581

522 Kanuga Rd
Hendersonville, NC 28739
Phone (828) 697-1581

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1801948674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 KANUGA RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287395226",
            "telephone_number": "828-697-1581",
            "fax_number": "828-697-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 KANUGA RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287395226",
            "telephone_number": "828-697-1581",
            "fax_number": "828-697-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTH AVENUE PSYCHIATRIC REHABILITATION PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "DREVAR",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "ADMIN. SERVICES MGR.",
        "authorized_official_telephone_number": "828-489-3893"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-045-070",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9301703",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006050",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.