| Bergen Psychiatric Associates | |
|
294 State St Suite# 2 Hackensack NJ 07601-5515 | |
| (201) 833-5791 | |
| (201) 243-7874 |
| Full Name | Bergen Psychiatric Associates |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 294 State St, Hackensack, New Jersey |
| Authorized Official Name and Position | Mohsan Jan (ADMINISTARTOR) |
| Authorized Official Contact | 2018335791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Psychiatric Associates Po Box 809 Teaneck NJ 07666-0809 Ph: (201) 833-5791 | Bergen Psychiatric Associates 294 State St Suite# 2 Hackensack NJ 07601-5515 Ph: (201) 833-5791 |
| NPI Number | 1588944979 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588944979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00351700 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05276600 (New Jersey) | Primary |
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