Active NPI
Thrive Psychiatry Inc.
- Psychiatry Physician
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- THRIVE PSYCHIATRY INC.
- Practice address
- 312 S Barstow St
Eau Claire, WI 54701-2881 - Phone
- (816) 810-9841
- NPI assigned
- Aug 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Kibola
- Title
- Owner
- Phone
- (816) 810-9841
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
312 S Barstow St
Eau Claire, WI 54701-2881
Mailing address
PO Box 473
Rice Lake, WI 54868-0473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2004 Highland Ave
Ste 2B
Eau Claire, WI 54701
Phone (715) 317-5466
312 S Barstow St
Eau Claire, WI 54701
Phone (816) 810-9841
138 N Main St
Ste 200
Rice Lake, WI 54868
Phone (715) 317-5466
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Eau Claire, WI
- NPI 1821415795
-
- Professional Counselor
- Rice Lake, WI
- NPI 1366029829
-
- Psychiatric/Mental Health Nurse Practitioner
- Eau Claire, WI
- NPI 1548196314
-
- Professional Counselor
- Chippewa Falls, WI
- NPI 1548536618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1922726892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 473",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548680473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S BARSTOW ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012881",
"telephone_number": "816-810-9841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE PSYCHIATRY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "KIBOLA",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-810-9841"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.