| Baker Street Behavioral Health | |
|
601 Flaghouse Dr Hasbrouck Heights NJ 07604-3118 | |
| (201) 660-8270 | |
| Not Available |
| Full Name | Baker Street Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 601 Flaghouse Dr, Hasbrouck Heights, New Jersey |
| Authorized Official Name and Position | Joseph Galasso (PRINCIPAL) |
| Authorized Official Contact | 2013816136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Street Behavioral Health 601 Flaghouse Dr Hasbrouck Heights NJ 07604-3118 Ph: () - | Baker Street Behavioral Health 601 Flaghouse Dr Hasbrouck Heights NJ 07604-3118 Ph: (201) 660-8270 |
| NPI Number | 1659841096 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 01/15/2019 |
| Medicare PECOS PAC ID | 3476945098 |
|---|---|
| Medicare Enrollment ID | O20220111002111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659841096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren E Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184884751 PECOS PAC ID: 5799964219 Enrollment ID: I20110128000701 |
| Provider Name | Carrie P Ditzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093983850 PECOS PAC ID: 1052483120 Enrollment ID: I20130618000691 |
| Provider Name | Rebecca Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053820993 PECOS PAC ID: 5294091377 Enrollment ID: I20171106001478 |
| Provider Name | Michelle C Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619524915 PECOS PAC ID: 3173956109 Enrollment ID: I20191205002487 |
| Provider Name | Valerie Williamson Uehlinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285225466 PECOS PAC ID: 3375950702 Enrollment ID: I20210331000236 |
| Provider Name | Daria Luongo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467935189 PECOS PAC ID: 4880037704 Enrollment ID: I20240208000229 |
| Provider Name | Lori Michelle Fink |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619758240 PECOS PAC ID: 5294178661 Enrollment ID: I20240213002638 |
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