| Thrive Psychiatry Llc | |
|
425 W Capitol Ave Ste 1235 Little Rock AR 72201-3405 | |
| (501) 291-2764 | |
| Not Available |
| Full Name | Thrive Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 425 W Capitol Ave Ste 1235, Little Rock, Arkansas |
| Authorized Official Name and Position | Fahim Rasul (OWNER) |
| Authorized Official Contact | 8587756783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Psychiatry Llc 425 W Capitol Ave Ste 1235 Little Rock AR 72201-3405 Ph: (501) 291-2764 | Thrive Psychiatry Llc 425 W Capitol Ave Ste 1235 Little Rock AR 72201-3405 Ph: (501) 291-2764 |
| NPI Number | 1831881705 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/21/2023 |
| Medicare PECOS PAC ID | 1658735709 |
|---|---|
| Medicare Enrollment ID | O20230908000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831881705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Fahim Rasul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821550245 PECOS PAC ID: 8921428558 Enrollment ID: I20201020000945 |
| Provider Name | Marina Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003531518 PECOS PAC ID: 6305213596 Enrollment ID: I20221101000313 |
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