Individual provider Active NPI

Barbara A. Basile, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, NJ
National Provider Identifier
1558135772
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14955400 Issued in NJ
Practice address
58 Euclid St
Woodbury, NJ 08096-4626
Phone
(856) 628-4504
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 26NJ14955400 NJ Primary

Addresses

Primary practice location

58 Euclid St
Woodbury, NJ 08096-4626

Mailing address

1220 Royal LN
West Deptford, NJ 08086-2310

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
I20240125002930 NJ Practitioner - Nurse Practitioner 2062865041 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14955400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Psychiatric Services, LLC CurrentSince Nov 12, 2023 Accepting new patients
Insite Medical NJ PA Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Insite Medical NJ PA PastSince May 1, 2024 Accepting new patients

Locations

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

58 Euclid St
Woodbury, NJ 08096
Phone (856) 628-4504

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4
  • Direct secure messaging: barbara.basile@489656322949124.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1558135772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 ROYAL LN",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 EUCLID ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964626",
            "telephone_number": "856-628-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "credential": "APN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14955400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.