OrganizationActive
Bergen Psychiatric Care LLC
NPI 1295255149 · Child & Adolescent Psychiatry Physician · Ridgewood, NJ
Provider details
- NPI number
- 1295255149
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mini Thomas, Ccrp(201) 956-9483
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
65 N Maple Ave Ste 104
Ridgewood, NJ 07450-3233
Phone: (201) 956-9483
Fax: (201) 288-5262
Approximate (ZIP-level) locationGet directions
Mailing address
65 N Maple Ave Ste 104
Ridgewood, NJ 07450-3233
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2019-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.