WEST BERGEN MENTALHEALTHCARE, INC (NPI# 1912955196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912955196 |
| Entity Type | Organization |
| Organization Name | WEST BERGEN MENTALHEALTHCARE, 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 | 2006-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL TOZZOLI (CEO) |
| Authorized Official Telephone | 2014443550 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
301110105 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0006700-01 | 05 |
| Street Address |
120 CHESTNUT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154763951 | Mary E Davey | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2013-07-22 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515663 | Chandel Tommola | Counselor | 6060 Myrtle Ave, 863079, Ridgewood, NY 11386 | 2020-03-27 |
| 1689153314 | Maria Pietruszka | Counselor | 405 Onderdonk Ave Apt 2l, Ridgewood, NY 11385-1506 | 2018-08-13 |
| 1497272850 | Biljana Grebinnik | Counselor | 172 Franklin Ave Ste 4b, Ridgewood, NJ 07450-3229 | 2017-08-27 |
| 1841621091 | Adiasha Richards | Counselor | 5805 Metropolitan Ave, 1st Fl, Ridgewood, NY 11385-8329 | 2013-12-12 |
| 1770871469 | Mychattherapist Lcsw Pllc | Counselor | 666 Onderdonk Ave, Ridgewood, NY 11385-2207 | 2011-07-14 |
| 1033412523 | Nino Tevdorashvili | Counselor | 21-05 Linden St. Suite-2d, Ridgewood, NY 11385-2405 | 2010-12-06 |
| 1487886982 | Francisca Nazario-pellot | Counselor | 1714 Hart St, Ridgewood, NY 11385-1144 | 2009-08-17 |
| 1821233560 | Denise Valentin | Counselor | 1726 Gates Ave, Ridgewood, NY 11385-2847 | 2008-12-10 |
| 1033368840 | Julio C Baez Jr. | Counselor | 120 Chesnut Street, Ridgewood, NJ 07450 | 2008-09-17 |
| 1225287030 | Beth Wendi Geisler | Counselor | 120 Chestnut Steet, Ridgewood, NJ 07450 | 2008-09-17 |
| Find all providers in RIDGEWOOD | ||||
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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.