Organization Active NPI

Tidal Wave Psychiatric Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Cape May Court House, NJ
National Provider Identifier
1013759661
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TIDAL WAVE PSYCHIATRIC WELLNESS
Practice address
631 Route 47 N
Cape May Court House, NJ 08210-1321
Phone
(609) 675-3630
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tracey Angel Nagle, DNP, APNNPI 1780136127
Title
Owner/Psych NP
Phone
(609) 675-3630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

631 Route 47 N
Cape May Court House, NJ 08210-1321

Mailing address

631 Route 47 N
Cape May Court House, NJ 08210-1321
Phone (609) 675-3630

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1013759661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 ROUTE 47 N",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101321",
            "telephone_number": "609-675-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 ROUTE 47 N",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101321",
            "telephone_number": "609-675-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL WAVE PSYCHIATRIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER/PSYCH NP",
        "authorized_official_telephone_number": "609-675-3630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.