Provider Demographics
NPI:1386671535
Name:THRIVE BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:THRIVE BEHAVIORAL HEALTH, INC.
Other - Org Name:THRIVE BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUBAS MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-691-0000
Mailing Address - Street 1:2756 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3003
Mailing Address - Country:US
Mailing Address - Phone:401-691-6000
Mailing Address - Fax:401-738-6442
Practice Address - Street 1:2756 POST RD & 50 HEALTH LANE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3003
Practice Address - Country:US
Practice Address - Phone:401-732-5656
Practice Address - Fax:401-738-8634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X, 175T00000X, 251S00000X, 261QM0801X
RI630251B00000X, 261QM0801X, 261QR0405X
RI630.7251S00000X
RI630.8251S00000X
RI630.00261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9001843Medicaid
RIKC06929Medicaid
RIKC52696Medicaid
RIKC57268Medicaid
RIKC02233Medicaid
RIKC15427Medicaid
RIKC06929Medicaid
RI23759OtherBLUE CROSS LCDP'S
RI30369-9OtherBLUE CROSS SOCIAL WORK
RI30371-0OtherBLUE CROSS SUBSTANCE
RI30371-1OtherBLUE CROSS MHC
RIKC15427Medicaid
RI410279OtherBLUE CHIP LCDP
RI6951-1OtherBLUE CROSS
RI410616OtherBLUE CHIP MHC
RI709001893Medicare ID - Type UnspecifiedCOMMUNITY MENTAL HEALTH
RIKC06929Medicaid
RIKC02233Medicaid
RI30368-0OtherBLUE CROSS PSY.D.