Organization Active NPI

Three Roots Integrative Psychiatric Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Barnegat, NJ
National Provider Identifier
1366305294
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER
Practice address
890 W Bay Ave Ste H
Barnegat, NJ 08005-2150
Phone
(732) 664-7788
Fax
(949) 883-4462
NPI assigned
Dec 8, 2025
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Mrs. Nina Thompson, APNNPI 1326871088
Title
Pmhnp
Phone
(732) 503-5110

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

890 W Bay Ave Ste H
Barnegat, NJ 08005-2150

Mailing address

890 W Bay Ave Ste H
Barnegat, NJ 08005-2150
Phone (732) 664-7788

National Provider Directory

National Provider Directory

Locations

890 W Bay Ave
Ste H
Barnegat, NJ 08005

403 Hooper Ave
Toms River, NJ 08753
Phone (732) 244-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1366305294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W BAY AVE STE H",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052150",
            "telephone_number": "732-664-7788",
            "fax_number": "949-883-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W BAY AVE STE H",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052150",
            "telephone_number": "732-664-7788",
            "fax_number": "949-883-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "732-503-5110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.