Individual provider Active NPI

Shannon Dempsey, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1396568093
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15115300 Issued in NJ
Practice address
150 Brick Blvd
Brick, NJ 08723-7182
Phone
(732) 458-2180
NPI assigned
Nov 2, 2024
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 26NJ15115300 NJ Primary

Addresses

Primary practice location

150 Brick Blvd
Brick, NJ 08723-7182

Mailing address

150 Brick Blvd
Brick, NJ 08723-7182
Phone (732) 458-2180

Other practice location 1

2001 Route 37 E
Toms River, NJ 08753-7168
Phone (732) 288-9322

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
I20251014004406 NJ Practitioner - Nurse Practitioner 1951898899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Minds Psychiatry and Mental Wellness, LLCGroup PAC ID 0143677815, 3 clinicians
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

317 Brick Blvd
Suite 110
Brick, NJ 08723-6031
Phone (732) 934-6463

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15115300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Dec 25, 2025 Accepting new patients
Healing Minds Psychiatry and Mental Wellness, LLC CurrentSince Sep 30, 2025 Accepting new patients
Lifebulb LLC CurrentSince Dec 25, 2025 Accepting new patients
Concierge Medical LLC Psychiatric/Mental Health CurrentSince Sep 30, 2025 Accepting new patients

Locations

317 Brick Blvd
Ste 110
Brick, NJ 08723
Phone (732) 934-6463

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

Organizations & group practices 4

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": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1396568093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237182",
            "telephone_number": "732-458-2180",
            "fax_number": "732-458-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237182",
            "telephone_number": "732-458-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Route 37 E",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087537168",
            "country_code": "US",
            "telephone_number": "732-288-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "SHANNON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15115300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.