Provider Demographics
NPI:1902335029
Name:THRIVE INTEGRATIVE PSYCHIATRY AND SEXUALITY COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:THRIVE INTEGRATIVE PSYCHIATRY AND SEXUALITY COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVINUS
Authorized Official - Suffix:
Authorized Official - Credentials:PNP, CNM,MS
Authorized Official - Phone:413-628-3363
Mailing Address - Street 1:448 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:ASHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01330-9503
Mailing Address - Country:US
Mailing Address - Phone:413-628-3363
Mailing Address - Fax:
Practice Address - Street 1:40 CENTER ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3405
Practice Address - Country:US
Practice Address - Phone:413-446-3915
Practice Address - Fax:413-446-3915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA149071363LP0808X
MA178157367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty