| West Bergen Mentalhealthcare, Inc | |
|
120 Chestnut St Ridgewood NJ 07450-2504 | |
| (201) 444-3550 | |
| (201) 652-1613 |
| Full Name | West Bergen Mentalhealthcare, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 Chestnut St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Michael Tozzoli (CEO) |
| Authorized Official Contact | 2014443550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Bergen Mentalhealthcare, Inc 120 Chestnut St Ridgewood NJ 07450-2504 Ph: (201) 444-3550 | West Bergen Mentalhealthcare, Inc 120 Chestnut St Ridgewood NJ 07450-2504 Ph: (201) 444-3550 |
| NPI Number | 1912955196 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912955196 | NPI | - | NPPES |
| 0006700-01 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 301110105 (New Jersey) | Primary |
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