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Organization

WEST BERGEN MENTAL HEALTHCARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL TOZZOLLI LCSW, (CHIEF EXECUTIVE OFFICER)
(201) 444-3550
Entity
Organization

Contact information

Practice address
120 CHESTNUT ST, RIDGEWOOD, NJ 07450-2504
(201) 444-3550
(201) 652-1613
Mailing address
120 CHESTNUT ST, RIDGEWOOD, NJ 07450-2504
(201) 444-3550
(201) 652-1613

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30111-01
NJ
101YM0800X
Mental Health Counselor
30111-01
NJ
103TA0700X
Adult Development & Aging Psychologist
30111-01
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
30111-01
NJ
1041C0700X
Clinical Social Worker
3011101
NJ
106H00000X
Marriage & Family Therapist
3011101
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
30111-01
NJ
251E00000X
Home Health Agency
30111-01
NJ
261Q00000X
Clinic/Center
Primary
30111-01
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006700
NJ
05
0085006
NJ
Enumeration date
12/12/2006
Last updated
01/13/2012
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