Healthcare Provider Details

I. General information

NPI: 1528990777
Provider Name (Legal Business Name): THRIVE PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 GEORGE ST
NEW BRUNSWICK NJ
08901-2008
US

IV. Provider business mailing address

111 TOWN SQUARE PL STE 1238
JERSEY CITY NJ
07310-1810
US

V. Phone/Fax

Practice location:
  • Phone: 856-685-9737
  • Fax: 201-801-8202
Mailing address:
  • Phone:
  • Fax: 201-801-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KALIYM HOWELL
Title or Position: NURSE PRACTITIONER
Credential: DNP
Phone: 856-685-9737