Organization Active NPI

Thrive Neuropsychology & Psychology

  • Clinical Psychologist
  • Santa Fe, NM
National Provider Identifier
1821789843
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THRIVE NEUROPSYCHOLOGY & PSYCHOLOGY
Practice address
3 Caliente Rd Unit 1
Santa Fe, NM 87508-9209
Phone
(323) 620-2834
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Lara Heflin, PH.D.NPI 1225337686
Title
Owner/Clinical Psychologist
Phone
(323) 620-2834

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3 Caliente Rd Unit 1
Santa Fe, NM 87508-9209

Mailing address

28 Encantado Rd
Santa Fe, NM 87508-1394
Phone (323) 620-2834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724003571 NM Part B Supplier - Clinic/Group Practice 9335509298 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

3 Caliente Rd
Unit 1
Santa Fe, NM 87508
Phone (323) 620-2834

Practitioners & affiliated clinicians

Practitioners 1

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": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1821789843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ENCANTADO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081394",
            "telephone_number": "323-620-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALIENTE RD UNIT 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089209",
            "telephone_number": "323-620-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE NEUROPSYCHOLOGY & PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "HEFLIN",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-620-2834",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.