Provider Demographics
NPI:1861375719
Name:THRIVE INTEGRATED NEUROPSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:THRIVE INTEGRATED NEUROPSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FERNE
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:PINARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-409-8173
Mailing Address - Street 1:231 CHIPPINGWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-3617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:231 CHIPPINGWOOD CIR
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-3617
Practice Address - Country:US
Practice Address - Phone:305-409-8173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)