# BERGEN PSYCHIATRIC ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508289224
- **Authorized official:** MR. MOHSAN JAN (ADMINISTRATOR)
- **Authorized official phone:** (845) 821-2605

## Contact information

- **Practice address:** 294 STATE ST STE 2, HACKENSACK, NJ 07601-5515
- **Practice address phone:** (201) 342-4004
- **Practice address fax:** (201) 342-4208
- **Mailing address:** PO BOX 809, TEANECK, NJ 07666-0809
- **Mailing address phone:** (845) 821-2605
- **Mailing address fax:** (201) 243-7874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | MA65065 | NJ | Yes |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 01/31/2014