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BERGEN PSYCHIATRIC ASSOCIATES NPI 1508289224


NPI Information

NPI: 1508289224
Provider Name: BERGEN PSYCHIATRIC ASSOCIATES
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
294 STATE ST STE 2
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-4004
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BERGEN PSYCHIATRIC ASSOCIATES is an addiction (substance use disorder) psychologist in Hackensack, NJ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. BERGEN PSYCHIATRIC ASSOCIATES NPI is 1508289224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

294 STATE ST STE 2
HACKENSACK, NJ
ZIP 07601-515
Phone: (201) 342-4004
Fax: (201) 342-4208

The provider's authorized official is Mohsan Jan .
The authorized official title is Administrator and has the following contact phone number (845) 821-2605.

The enumeration date for this NPI number is 1/31/2014 and was last updated on 1/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)MA65065NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17492201MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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