Active NPIOrganization

West Bergen Mental Healthcare, INC.

Clinic/Center in Ridgewood, New Jersey

NPI Number1881755973
Practice location
120 Chestnut St, Ridgewood, NJ 07450-2504
Fax
201-652-1613
Last updated
January 13, 2012

West Bergen Mental Healthcare, INC. is a healthcare organization based in Ridgewood, NJ. West Bergen Mental Healthcare, INC. practices in Ridgewood, NJ. The NPI Number for West Bergen Mental Healthcare, INC. is 1881755973 and holds a License No. 30111-01 (NJ). The current practice location address for West Bergen Mental Healthcare, INC. is 120 Chestnut St, Ridgewood, NJ 07450-2504 and can be reached out via phone at 201-444-3550 and via fax at 201-652-1613.

Provider Profile Details

NPI Number
1881755973
Provider Name
West Bergen Mental Healthcare, INC.
Provider Entity Type
Organization
Address
120 Chestnut St, Ridgewood, NJ 07450-2504
Phone Number
201-444-3550
Fax Number
201-652-1613
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Mr. Michael Tozzolli, LCSW · Chief Executive Officer · 201-444-3550
Provider Enumeration Date
December 12, 2006
Last Update Date
January 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
Zip
07450-2504
Phone Number
201-444-3550
Fax Number
201-652-1613
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
City
Ridgewood
State
NJ
Zip
07450-2504
Phone Number
201-444-3550
Fax Number
201-652-1613

License Information

License Number (1)
30111-01
License State (1)
NJ
License Number (2)
30111-01
License State (2)
NJ
License Number (3)
30111-01
License State (3)
NJ
Taxonomy (3)
Counselor, Mental Health · 101YM0800X
License Number (4)
30111-01
License State (4)
NJ
Taxonomy (4)
Psychologist, Adult Development & Aging · 103TA0700X
License Number (5)
30111-01
License State (5)
NJ
License Number (6)
3011101
License State (6)
NJ
Taxonomy (6)
Social Worker, Clinical · 1041C0700X
License Number (7)
3011101
License State (7)
NJ
Taxonomy (7)
Marriage & Family Therapist · 106H00000X
License Number (8)
30111-01
License State (8)
NJ
Taxonomy (8)
Home Health · 251E00000X
License Number (9)
30111-01
License State (9)
NJ
Taxonomy (9)
Clinic/Center · 261Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of West Bergen Mental Healthcare, INC.?

The NPI number of West Bergen Mental Healthcare, INC. is 1881755973. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of West Bergen Mental Healthcare, INC.?

West Bergen Mental Healthcare, INC. is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 30111-01.

Where does West Bergen Mental Healthcare, INC. practice?

The practice location is 120 Chestnut St, Ridgewood, NJ 07450-2504. The office can be reached at 201-444-3550 (phone) or 201-652-1613 (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 1881755973 directly on the NPPES registry website.

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