Bergen Psychiatric Care Llc

LBN: Bergen Psychiatric Care Llc
Bergen Psychiatric Care Llc is an health care organization with primary practice located at 65 N Maple Ave Ste 104 , Ridgewood NJ 07450-3233. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Bergen Psychiatric Care Llc can be contacted via phone (201) 956-9483, or through Thomas, Mini via phone (201) 956-9483.

Contact Information

Primary practice address
65 N Maple Ave Ste 104 Ridgewood NJ 07450-3233
Phone: (201) 956-9483
Fax: (201) 288-5262
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Mini MBBS
Phone: (201) 956-9483

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1295255149
LBN Legal business name Bergen Psychiatric Care Llc
DBA Doing business as
Authorized official Thomas, Mini MBBS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2017
Last updated Mar 18th, 2019 - about 7 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 1295255149 NPPES
New Jersey Other 25MA09523700 STATE LICENCE

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