Pascack Mental Health Center

LBN: Pascack Mental Health Center
Pascack Mental Health Center is an health care organization with primary practice located at 114 Kinderkamack Road , Park Ridge NJ 07656-2126. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Pascack Mental Health Center can be contacted via phone (201) 391-1355, or through Becerra, Jorge via phone (201) 391-1355.

Contact Information

Primary practice address
114 Kinderkamack Road Park Ridge NJ 07656-2126
Phone: (201) 391-1355
Fax: (201) 391-9516
Website:
Map and Directions
Authorized official contact:
Name: Becerra, Jorge
Phone: (201) 391-1355

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1154526440
LBN Legal business name Pascack Mental Health Center
DBA Doing business as
Authorized official Becerra, Jorge
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Oct 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154526440 NPPES
New Jersey MEDICAID 0020303

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