Bergen Cbt, Llc

LBN: Bergen Cbt, Llc
Bergen Cbt, Llc is an health care organization with primary practice located at 44 Godwin Ave , Midland Park NJ 07432-1969. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Bergen Cbt, Llc can be contacted via phone (201) 632-1548, or through Giangrasso, Kevin Edward via phone (201) 632-1548.

Contact Information

Primary practice address
44 Godwin Ave Midland Park NJ 07432-1969
Phone: (201) 632-1548
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Giangrasso, Kevin Edward PSY.D.
Phone: (201) 632-1548

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1750169561
LBN Legal business name Bergen Cbt, Llc
DBA Doing business as
Authorized official Giangrasso, Kevin Edward PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2023
Last updated Sep 21st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750169561 NPPES
New York MEDICAID 1548545411
New York MEDICAID 1265805972

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