Individual provider Active NPI

James Haven, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1376258418
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71013237A Issued in IN
Practice address
131 E Court Ave Ste 100
Jeffersonville, IN 47130-3600
Phone
(812) 408-3674
Fax
(812) 407-8126
NPI assigned
Jan 23, 2023
Last updated
Feb 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71013237A IN Primary

Addresses

Primary practice location

131 E Court Ave Ste 100
Jeffersonville, IN 47130-3600

Mailing address

131 E Court Ave Ste 100
Jeffersonville, IN 47130-3600
Phone (812) 408-3674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230228001460 IN Practitioner - Nurse Practitioner 5890168595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elemental Body and MindGroup PAC ID 4789172867, 3 clinicians

Practice addresses (Care Compare)

201 E Market St
Suite 3
Jeffersonville, IN 47130-3362
Phone (812) 408-3674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013237AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Body & Mind Psychiatric/Mental Health CurrentSince Oct 23, 2025 Accepting new patients

Locations

131 E Court Ave
Ste 100
Jeffersonville, IN 47130
Phone (812) 408-3674

201 E Market St
Ste 3
Jeffersonville, IN 47130
Phone (812) 408-3674

Organizations & group practices 1

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1376258418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E COURT AVE STE 100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303600",
            "telephone_number": "812-408-3674",
            "fax_number": "812-407-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E COURT AVE STE 100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303600",
            "telephone_number": "812-408-3674",
            "fax_number": "812-407-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEN",
        "first_name": "JAMES",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71013237A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.