- Practice location
- 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
- Phone
- 201-757-0600
- Fax
- 800-507-2456
- Last updated
- November 19, 2021
Great Moments is a healthcare organization based in Ridgewood, NJ. Great Moments practices in Ridgewood, NJ. The NPI Number for Great Moments is 1396409645. The current practice location address for Great Moments is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 and can be reached out via phone at 201-757-0600 and via fax at 800-507-2456.
Provider Profile Details
- NPI Number
- 1396409645
- Provider Name
- Great Moments
- Provider Entity Type
- Organization
- Address
- 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
- Phone Number
- 201-757-0600
- Fax Number
- 800-507-2456
- Primary Taxonomy
- Psychologist · 103T00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ida Jeltova, PHD · Clinical Director · 201-757-0600
- Provider Enumeration Date
- October 22, 2021
- Last Update Date
- November 19, 2021
- Certification Date
- November 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 W Ridgewood Ave
Ridgewood, NJ 07450-3199 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3199
- Phone Number
- 201-757-0600
- Fax Number
- 800-507-2456
Provider Business Mailing Address Details
- Address
- 88 W Ridgewood Ave
Ridgewood, NJ 07450-3199 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3199
- Phone Number
- 201-757-0600
- Fax Number
- 800-507-2456
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Ridgewood, NJ
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- Dr. Brian Amorello, PHD, LPCPsychologist · NPI 1447773544
- Dr. Bridget Anton, PHDPsychologist · NPI 1285222919
- Dr. Catherine M O'Sullivan, PSYDPsychologist · NPI 1427481027
- Dr. Dana Ergas, PHDPsychologist · NPI 1124740667
Frequently Asked Questions
What is the NPI number of Great Moments?
The NPI number of Great Moments is 1396409645. It was assigned on October 22, 2021 and is currently active in the NPPES registry.
What is the specialty of Great Moments?
Great Moments is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Great Moments practice?
The practice location is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199. The office can be reached at 201-757-0600 (phone) or 800-507-2456 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396409645 directly on the NPPES registry website.