JMS Behavioral Health Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JMS BEHAVIORAL HEALTH INC.

Practice address

215 Highland Ave Ste C
Haddon Township, NJ 08108-2634

Phone

(609) 350-4792

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Tyreasea Johnson-Mason, APNNPI 1003250101

Title

Owner

Phone

(302) 438-7573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Tyreasea Anicha Johnson-Mason, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Haddon Township, NJ
  • NPI 1003250101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1306577887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND AVE STE C",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND AVE STE C",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082634",
            "telephone_number": "609-350-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMS BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-MASON",
        "authorized_official_first_name": "TYREASEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-438-7573",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrold D Hutkin, RPH
• Inadvance Medicine Associates East (Passport Health)
• Infinity Empowerment Services
• Erik Jervis, LSW
• JMD Psychological Services, LLC
• Tyreasea Anicha Johnson-Mason, NP
• Megan Kirby
• Kovacs-Farkas Counseling LLC
• Michael Koval, PHARMD
• Tejal Kundaikar

• Psychiatric/Mental Health Nurse Practitioner in Haddon Township, NJ
• Providers in Haddon Township, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.