Individual provider Active NPI

Herma Thompson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvington, NJ
National Provider Identifier
1871242776
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01441800 Issued in NJ
Practice address
12 Krotik PL
Irvington, NJ 07111-1708
Phone
(973) 373-3000
NPI assigned
Mar 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 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 26NJ01441800 NJ Primary

Addresses

Primary practice location

12 Krotik PL
Irvington, NJ 07111-1708

Mailing address

749 Scotland Rd Apt 7C
Orange, NJ 07050-1091
Phone (862) 205-9591

Other practice location 1

749 Scotland Rd Apt 7C
Orange, NJ 07050-1091
Phone (862) 205-9591

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
I20230919004457 NJ Practitioner - Nurse Practitioner 3678937943 Reassigns benefits to 5 organizations

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
Mental Health Association of Essex and Morris, Inc.Group PAC ID 5597654293, 14 clinicians

Practice addresses (Care Compare)

33 S Fullerton Ave
Montclair, NJ 07042-3358
Phone (973) 509-9777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01441800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Association of Essex and Morris, Inc. CurrentSince Dec 24, 2023 Accepting new patients
Owen Health Care, Inc CurrentSince Jun 19, 2023 Accepting new patients
Owen Health Care, Inc CurrentSince Jun 19, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jun 7, 2024 Accepting new patients
Yorkshire Mental Wellness LLC Psychiatric/Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Gold Standard Medical Group PC CurrentSince Jul 27, 2025 Accepting new patients

Locations

992 Clifton Ave
Clifton, NJ 07013
Phone (201) 839-5016

15 Freeman Ave
East Orange, NJ 07018
Phone (973) 673-4743

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

33 S Fullerton Ave
Montclair, NJ 07042
Phone (973) 509-9777

2041 Springfield Ave
Vauxhall, NJ 07088
Phone (908) 258-7796

Organizations & group practices 7

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": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1871242776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 SCOTLAND RD APT 7C",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501091",
            "telephone_number": "862-205-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KROTIK PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111708",
            "telephone_number": "973-373-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "749 Scotland Rd Apt 7C",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "NJ",
            "postal_code": "070501091",
            "country_code": "US",
            "telephone_number": "862-205-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HERMA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01441800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

Verify at the official NPI Registry.