Marjorie Theodule Sr., DNP. APRN PMHNP B-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

18310 Issued in CT

Practice address

6 Lincoln Ave
West Orange, NJ 07052-2312

Phone

(862) 241-2117

NPI assigned

Sep 8, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1740190289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LINCOLN AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522312",
            "telephone_number": "862-241-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LINCOLN AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522312",
            "telephone_number": "862-241-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODULE",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DNP. APRN PMHNP B-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "18310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Medical Group P.a.
• The Nephrology Group PA
• The Pediatric Group of West Orange
• The Private Care Behavior Solutions LLC
• The Temple Pilates and Wellness, LLC
• Kundana Thimmanagari
• Colette A Thomas-Lamothe
• Clark Thompson, MSW
• Christine W Thorpe, ED.D.
• Judith P Tiongco, MD

• Psychiatric/Mental Health Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.