WEST BERGEN MENTAL HEALTHCARE, INC. (NPI# 1881755973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881755973 |
| Entity Type | Organization |
| Organization Name | WEST BERGEN MENTAL HEALTHCARE, INC. |
| Practice Address |
120 Chestnut St Ridgewood NJ 07450-2504 |
| Practice Telephone | 2014443550 |
| Practice Fax Number | 2016521613 |
| Mailing Telephone | 2014443550 |
| Mailing Fax Number | 2016521613 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | MR. MICHAEL TOZZOLLI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2014443550 |
| Authorized Official Credential | LCSW, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
30111-01 | NJ | Allopathic & Osteopathic Physicians |
| N | 251E00000X | Home Health | 30111-01 | NJ | Agencies |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
30111-01 | NJ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
30111-01 | NJ | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
30111-01 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
30111-01 | NJ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
3011101 | NJ | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 3011101 | NJ | Behavioral Health & Social Service Providers |
| Y | 261Q00000X | Clinic/Center | 30111-01 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0085006 | 05 | |
| NJ | 0006700 | 05 |
| Street Address |
120 CHESTNUT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912955196 | West Bergen Mentalhealthcare, Inc | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2006-05-04 |
| 1699374645 | Kimberly Samra | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2020-10-21 |
| 1063056802 | Kelly Walsh | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-11-05 |
| 1760026900 | Kendall Marquard | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-31 |
| 1770127037 | Leighann Albanese | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-30 |
| 1689218943 | Danielle Chait | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-30 |
| 1275177651 | Asimina I Kremos | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-29 |
| 1639604085 | Carlo Alvare | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2017-04-24 |
| 1194115022 | Cory Birch | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2015-01-30 |
| 1497187587 | Christopher Hellriegel | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2013-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710219126 | Psychological & Neuropsychological Services LLC | Clinic/Center | 75 N Maple Ave Ste 101b, Ridgewood, NJ 07450-3261 | 2010-02-10 |
| 1164968582 | Christopher J. Leonard, Msw, Lcsw, M.ed. | Clinic/Center | 118 Prospect St, Suite 5, Ridgewood, NJ 07450-4473 | 2017-01-09 |
| 1710157581 | Skender Driza Medical PC | Clinic/Center | 6062 Palmetto St, Ridgewood, NY 11385-3241 | 2008-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073318 | West New York Healing Center Corp | Clinic/Center | 5300 Bergenline Ave Ste 304, West New York, NJ 07093-5616 | 2020-11-07 |
| 1194354407 | Recover Physical Therapy | Clinic/Center | 1501 Old Black Horse Pike Apt F9, Blackwood, NJ 08012-4927 | 2020-04-07 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1205464823 | Fulcrum Performance Lab, LLC | Clinic/Center | 75 S Maple Ave, Marlton, NJ 08053-2032 | 2020-03-30 |
| 1215563887 | Dr Cloyd's Clinical Psychology and Neuropsychology Practice Pllc | Clinic/Center | 1209 Route 70 W, Cherry Hill, NJ 08002-3532 | 2020-03-16 |
| 1144860271 | Sentarus Healthcare Solutions Inc | Clinic/Center | 736 S White Horse Pike, Audubon, NJ 08106-1346 | 2020-01-07 |
| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.