Tikvah Integrated Mental Health and Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TIKVAH INTEGRATED MENTAL HEALTH AND WELLNESS LLC

Practice address

55 Route 70 E Ste 3
Marlton, NJ 08053-1769

Phone

(908) 782-1300

Fax

(908) 548-9544

NPI assigned

Jan 15, 2024

Last updated

Mar 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica H CostaNPI 1659997971

Title

Owner

Phone

(215) 896-9421

Specialties & licenses 2

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica H Costa, DNP,FNP-C, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
  • NPI 1659997971

  Family

  NPD Authorized official
• Marissa Harris, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Moorestown, NJ
  • NPI 1699582809
  NPD
• Safeer Ahmad Ansari, D.O.

  • Psychiatry Physician
  • Marlton, NJ
  • NPI 1538367727
  NPD (past)
• Eva Besserman, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Plainfield, NJ
  • NPI 1184826661
  NPD (past)
• Stephen Jay Harrison, DO

  • Emergency Medicine Physician
  • Princeton, NJ
  • NPI 1043362080
  NPD (past)
• Donna Marie McKinnon, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, CT
  • NPI 1437653425

  Family

  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1881465128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROUTE 70 E STE 3",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531769",
            "telephone_number": "908-782-1300",
            "fax_number": "908-548-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROUTE 70 E STE 3",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531769",
            "telephone_number": "908-782-1300",
            "fax_number": "908-548-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIKVAH INTEGRATED MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-896-9421"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Thurber, LCADC LCSW
• John Thomas Thurber, D.M.D.
• Tia Sanders (Hopechest Consultation)
• Rachel Tice, LPC
• Jesse Louis Tierno
• Timothy Rhyme MD LLC (agape medical center)
• TML Case Management Concierge Services Plus LLC
• Gregory Rocco Toci, DO
• Miranda Leone Toci, APN
• Todd Fluck Acupuncture (South Jersey Sports Acupuncture)

• Family Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.