THREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER
NPI 1366305294
Nurse Practitioner - Psychiatric/Mental Health in Barnegat, NJ

Active since December 08, 2025
890 W BAY AVE STE H, BARNEGAT, NJ 08005(732) 664-7788(949) 883-4462 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2026, Dec 8, 2025 (2 updates tracked since 2025).

About Three Roots Integrative Psychiatric Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER (NPI 1366305294) is a healthcare organization registered as a psychiatric/mental health in Barnegat, New Jersey and active in the NPI registry since December 2025. The organization lists Nina Thompson, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1366305294
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER
Location Address890 W BAY AVE STE HBarnegat, NJ 08005-2150
Mailing Address890 W Bay Ave Ste HBarnegat, NJ 08005-2150 · (732) 664-7788 · Fax (949) 883-4462
Fax(949) 883-4462
Organization SubpartNo
Authorized OfficialNina ThompsonPmhnp · (732) 503-5110
Enumeration DateDecember 8, 2025
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1366305294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
890 W BAY AVE STE H, Barnegat, NJ 08005

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Three Roots Integrative Psychiatric Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Three Roots Integrative Psychiatric Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1326871088
890 W BAY AVE STE H
Barnegat, NJ 08005
(732) 664-7788
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Three Roots Integrative Psychiatric Center's NPI number?

The NPI number for Three Roots Integrative Psychiatric Center is 1366305294. It was assigned to this organization in the NPPES registry on December 8, 2025.

Where is Three Roots Integrative Psychiatric Center located?

Three Roots Integrative Psychiatric Center is located at 890 W Bay Ave Ste H, Barnegat, NJ 08005. The listed phone number is (732) 664-7788.

What is Three Roots Integrative Psychiatric Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Three Roots Integrative Psychiatric Center enrolled in Medicare?

Yes. Three Roots Integrative Psychiatric Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Three Roots Integrative Psychiatric Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Three Roots Integrative Psychiatric Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Three Roots Integrative Psychiatric Center was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.