DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WEST BERGEN MENTAL HEALTHCARE, INC.

MEDICARE: WEST BERGEN MENTAL HEALTHCARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician30111-01NJ
2101YA0400XAddiction (Substance Use Disorder) Counselor30111-01NJ
3101YM0800XMental Health Counselor30111-01NJ
4103TA0700XAdult Development & Aging Psychologist30111-01NJ
5103TC2200XClinical Child & Adolescent Psychologist30111-01NJ
61041C0700XClinical Social Worker3011101NJ
7106H00000XMarriage & Family Therapist3011101NJ
8251E00000XHome Health Agency30111-01NJ
9261Q00000XClinic/Center30111-01NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881755973
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST BERGEN MENTAL HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 120 CHESTNUT ST
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-2504
Country : US
Telephone Number : 201-444-3550
Fax Number : 201-652-1613
Provider Business Practice Location Address
First Line : 120 CHESTNUT ST
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-2504
Country : US
Telephone Number : 201-444-3550
Fax Number : 201-652-1613
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. MICHAEL TOZZOLLI
Credential : LCSW,
Telephone Number : 201-444-3550
Provider Enumeration Date : 12/12/2006
Last Update Date : 01/13/2012

Similar Medicare Providers

1245185313 — NAYAD ALTINCATAL LAC
Practice Location Address:
120 CHESTNUT ST
RIDGEWOOD, NJ
07450-2504
Practice Phone: 201-444-3550
Practice Fax:
1912955196 — WEST BERGEN MENTALHEALTHCARE, INC
Practice Location Address:
120 CHESTNUT ST
RIDGEWOOD, NJ
07450-2504
Practice Phone: 201-444-3550
Practice Fax: 201-652-1613
1992968077 — MRS. DONNA M WELHORSKY MSW, LSW
Practice Location Address:
120 CHESTNUT ST
RIDGEWOOD, NJ
07450-2504
Practice Phone: 201-444-3550
Practice Fax:
1891944807 — MS. SHIREEN B MEISTRICH LSW
Practice Location Address:
120 CHESTNUT ST
RIDGEWOOD, NJ
07450-2504
Practice Phone: 201-444-3550
Practice Fax: 201-652-1613
1346480704 — JACQUELINE SZABO LCSW
Practice Location Address:
120 CHESTNUT ST
RIDGEWOOD, NJ
07450-2504
Practice Phone: 201-444-3565
Practice Fax: 201-652-1613
1295060564 — ROBERT F GAROFANO L.P.C.
Practice Location Address:
120 CHESTNUT ST
RIDGEWOOD, NJ
07450-2504
Practice Phone: 201-444-3565
Practice Fax:

Directions to “WEST BERGEN MENTAL HEALTHCARE, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.