WEST BERGEN MENTAL HEALTHCARE INC. NPI 1881755973

NPI Information

NPI: 1881755973
Provider Name: WEST BERGEN MENTAL HEALTHCARE, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
120 CHESTNUT ST
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 444-3550
Get Directions

WEST BERGEN MENTAL HEALTHCARE, INC. is a clinic center in Ridgewood, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WEST BERGEN MENTAL HEALTHCARE, INC. NPI is 1881755973. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

120 CHESTNUT ST
RIDGEWOOD, NJ
ZIP 07450-504
Phone: (201) 444-3550
Fax: (201) 652-1613

The provider's authorized official is Michael Tozzolli .
The authorized official title is Chief Executive Officer and has the following contact phone number (201) 444-3550.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 1/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	30111-01	NEW JERSEY	No
2	251E00000X	Home Health		30111-01	NEW JERSEY	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	30111-01	NEW JERSEY	No
4	101YM0800X	Counselor	Mental Health	30111-01	NEW JERSEY	No
5	103TA0700X	Psychologist	Adult Development & Aging	30111-01	NEW JERSEY	No
6	103TC2200X	Psychologist	Clinical Child & Adolescent	30111-01	NEW JERSEY	No
7	1041C0700X	Social Worker	Clinical	3011101	NEW JERSEY	No
8	106H00000X	Marriage & Family Therapist		3011101	NEW JERSEY	No
9	261Q00000X	Clinic/Center		30111-01	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0006700	MEDICAID	NEW JERSEY
2	0085006	MEDICAID	NEW JERSEY
3	WE526359	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »