Active NPI
Tina Marie James, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Irvington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01138800
- Practice address
- 1123 Clinton Ave
Irvington, NJ 07111-2010 - Phone
- (732) 582-5964
- Fax
- (732) 369-9047
- NPI assigned
- Apr 6, 2021
- Last updated
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01138800 | NJ | Primary |
| Registered Nurse | 163W00000X | 26NR17629700 | NJ |
Addresses
Primary practice location
1123 Clinton Ave
Irvington, NJ 07111-2010
Mailing address
1123 Clinton Ave
Irvington, NJ 07111-2010
Phone (732) 582-5964
Other practice location 1
550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0793523 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hoboken |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 222-4922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR17629700 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Your Mind | Current | Accepting new patients | |
| JLS Medical PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Premier Mental & Behavioral Services, Inc | Current | Accepting new patients | |
| Premier Mental & Behavioral Services, Inc | Current | Accepting new patients | |
| Bancroft, a New Jersey Nonprofit Corporation | Past | Accepting new patients |
Locations
615 Hope Rd
Ste 3B
Eatontown, NJ 07724
Phone (732) 724-1234
550 Broad St
Ste 606
Newark, NJ 07102
Phone (866) 994-5161
2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hamilton, NJ
- NPI 1053955096
-
dba Wellbrook Health
- Psychiatry Physician
- Newark, NJ
- NPI 1164007043
Psychiatric/Mental Health
-
dba Positive Reset Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eatontown, NJ
- NPI 1114599305
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brick, NJ
- NPI 1649958372
-
- Rehabilitation Clinic/Center
- Cherry Hill, NJ
- NPI 1720121106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1366021222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 CLINTON AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112010",
"telephone_number": "732-582-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 CLINTON AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112010",
"telephone_number": "732-582-5964",
"fax_number": "732-369-9047"
}
],
"practiceLocations": [
{
"address_1": "550 Broad St Ste 606",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071024537",
"country_code": "US",
"telephone_number": "201-822-1161",
"fax_number": "877-485-8918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "TINA MARIE",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01138800",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR17629700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0793523",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hoboken",
"affiliation": "N",
"address_1": "221 River St Ste 901",
"city": "Hoboken",
"state": "NJ",
"country_code": "US",
"postal_code": "070305989",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.