WEST BERGEN MENTAL HEALTH CARE (NPI# 1649547753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649547753 |
| Entity Type | Organization |
| Organization Name | WEST BERGEN MENTAL HEALTH CARE |
| Practice Address |
120 Chestnut St Ridgewood NJ 07450-2504 |
| Practice Telephone | 2014443565 |
| Practice Fax Number | 2016529164 |
| Mailing Telephone | 2014443565 |
| Mailing Fax Number | 2016529164 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | MRS. SHIRLEY L. LEIBOWITZ (SOCIAL WORKER) |
| Authorized Official Telephone | 2017941474 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 44SC05480500 | NJ | Agencies |
| Street Address |
120 CHESTNUT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912955196 | West Bergen Mentalhealthcare, Inc | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2006-05-04 |
| 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 |
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| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104375005 | Jolanta Budnik | Community/Behavioral Health | 6012 69th Ave, Ridgewood, NY 11385-5140 | 2016-10-03 |
| 1376083840 | Shari Bursztyn Phd- Psych Services | Community/Behavioral Health | 304 S Van Dien Ave, Ridgewood, NJ 07450-5200 | 2017-03-03 |
| 1811447667 | Denis E Blumberg Lcsw-r, P.C. | Community/Behavioral Health | 5619 Metropolitan Ave, Ridgewood, NY 11385-1958 | 2016-10-05 |
| 1376099341 | Denis E Blumberg Lcsw-r, P.C. | Community/Behavioral Health | 5619 Metropolitan Ave, Ridgewood, NY 11385-1958 | 2016-08-30 |
| 1215271432 | North Jersey Behavioral Counseling | Community/Behavioral Health | 201 E Ridgewood Ave Ste 3, Ridgewood, NJ 07450-3825 | 2012-11-15 |
| 1629381264 | Ridgewood Institute for Integral Psychotherapy | Community/Behavioral Health | 20 Wilsey Sq, Ridgewood, NJ 07450-3793 | 2010-07-25 |
| 1194960583 | Stepping Stones Counseling Center, Inc | Community/Behavioral Health | 61 N Maple Ave, Ridgewood, NJ 07450-3255 | 2008-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1699374009 | Apluscare, LLC | Community/Behavioral Health | 98 Stratton St S, Piscataway, NJ 08854-3641 | 2020-10-19 |
| 1326647736 | Apluscare, LLC | Community/Behavioral Health | 1419 W Camplain Rd, Manville, NJ 08835-1647 | 2020-10-19 |
| 1821603986 | New Life New Hope | Community/Behavioral Health | 31 S Browning Ave # A, Somerdale, NJ 08083-1109 | 2020-09-14 |
| 1154933208 | Tajlearning Resource Corp | Community/Behavioral Health | 172 Minetta Rd, Somerset, NJ 08873-3709 | 2020-08-20 |
| 1528670619 | North Jersey Friendship House Inc | Community/Behavioral Health | 45 Urban Club Rd, Wayne, NJ 07470-2000 | 2020-08-19 |
| 1447862875 | Ymca of Greater Monmouth County | Community/Behavioral Health | 485 Adelphia Rd, Freehold, NJ 07728-8815 | 2020-08-18 |
| 1639781065 | Ymca of Greater Monmouth County | Community/Behavioral Health | 613 Hope Rd Bldg 42, Eatontown, NJ 07724-1278 | 2020-08-18 |
| 1487266839 | Shore Integrated Counseling LLC | Community/Behavioral Health | 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 | 2020-08-18 |
| 1295347870 | Next Wind LLC | Community/Behavioral Health | 75 Grand Ave Ste 101, Englewood, NJ 07631-3522 | 2020-08-17 |
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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.