BERGEN PSYCHIATRIC CARE LLC; NPI #1295255149

Contact Information

BERGEN PSYCHIATRIC CARE LLC

65 N MAPLE AVE STE 104
RIDGEWOOD, NJ 07450-3233

Phone: 201-956-9483
Fax: 201-288-5262
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry
Addiction Medicine	2084A0401X	79	Physician/Addiction Medicine

Indicates primary specialty

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NPI Profile & details for BERGEN PSYCHIATRIC CARE LLC

NPI # 1295255149

LBN Legal business name BERGEN PSYCHIATRIC CARE LLC

Authorized official MINI THOMAS - (CCRP)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/21/2017

Last updated 03/18/2019 - About 7 years ago

Identifiers

Other

25MA09523700

STATE LICENCE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BERGEN PSYCHIATRIC CARE LLC

Contact Information

Specialty

Child & Adolescent Psychiatry

Addiction Medicine

NPI Profile & details for BERGEN PSYCHIATRIC CARE LLC

Reviews for BERGEN PSYCHIATRIC CARE LLC