Healthcare Provider Details

I. General information

NPI: 1427936962
Provider Name (Legal Business Name): THRIVE PSYCHIATRIC CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 E IRON AVE ST 103
SALINA KS
67401-3227
US

IV. Provider business mailing address

4601 E DOUGLAS AVE
WICHITA KS
67218-1011
US

V. Phone/Fax

Practice location:
  • Phone: 785-339-0939
  • Fax:
Mailing address:
  • Phone: 785-339-0939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA INGRAM
Title or Position: OWNER/PROVIDER
Credential: PSYCHCNS, APRN
Phone: 785-339-0939