MEDICARE: THREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1366305294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER

Provider Business Mailing Address
First Line	:	54 SAVANNAH DR
Second Line	:
City	:	BARNEGAT
State	:	NJ
Zip	:	08005-1351
Country	:	US
Telephone Number	:	732-503-5110
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 HOOPER AVE
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-7701
Country	:	US
Telephone Number	:	732-244-7700
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	MRS. NINA THOMPSON
Credential	:	APN
Telephone Number	:	732-503-5110

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	03/19/2026

Similar Medicare Providers

1326871088 — NINA THOMPSON APN
Practice Location Address:

403 HOOPER AVE
TOMS RIVER, NJ
08753-7701

Practice Phone: 732-664-7788
Practice Fax: 949-883-4462

1578692075 — DR. PAUL ALBERT PLUMP D.C.
Practice Location Address:

403 HOOPER AVE
TOMS RIVER, NJ
08753-7701

Practice Phone: 732-349-4646
Practice Fax: 732-349-4787

1174539233 — MRS. KRISTEN MARIE BRAWN
Practice Location Address:

7701 GRAND RIVER RD STE 100
BRIGHTON, MI
48114-9396

Practice Phone: 800-974-4378
Practice Fax: 630-515-1536

1770692493 — ALASKA CHIROPRACTIC AND THERAPY PC
Practice Location Address:

11901 BUSINESS BLVD STE 108
EAGLE RIVER, AK
99577-7701

Practice Phone: 907-694-1128
Practice Fax: 907-694-1286

1043414899 — HEALTH CARE INNOVATIONS, INC.
Practice Location Address:

7701 GRAND RIVER RD , SUITE 100
BRIGHTON, MI
48114-7365

Practice Phone: 810-227-7544
Practice Fax: 810-227-0810

1558501783 — DARA REBECCA BRANN OTR/L
Practice Location Address:

11901 BUSINESS BLVD , STE. 209
EAGLE RIVER, AK
99577-7701

Practice Phone: 907-694-6002
Practice Fax:

Directions to “THREE ROOTS INTEGRATIVE PSYCHIATRIC CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.