Individual provider Active NPI

Tina Marie James, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvington, NJ
National Provider Identifier
1366021222
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01138800 Issued in NJ
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0793523MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519000627 NJ Practitioner - Nurse Practitioner 6406255744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mind Your MindGroup PAC ID 6002242690, 22 clinicians

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

LicenseStateTypeSpecialty
26NR17629700NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Your Mind CurrentSince May 30, 2024 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Apr 19, 2023 Accepting new patients
Premier Mental & Behavioral Services, Inc CurrentSince Apr 3, 2023 Accepting new patients
Premier Mental & Behavioral Services, Inc CurrentSince Apr 3, 2023 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Apr 19, 2023 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.

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

Verify at the official NPI Registry.