Bergen Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00492800 Issued in NJ

Legal business name

BERGEN PSYCHOLOGICAL SERVICES, LLC

Practice address

1605 John St Ste 208
Fort Lee, NJ 07024-2550

Phone

(973) 432-7230

Fax

(201) 794-4499

NPI assigned

Sep 19, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yesenia Flores, PSY.D.

Title

Owner

Phone

(973) 432-7230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yesenia Guadalupe Flores-Pinos, PSY.D.

  • Psychologist
  • Teaneck, NJ
  • NPI 1144577446
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1083040232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 JOHN ST STE 205B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242581",
            "telephone_number": "973-432-7230",
            "fax_number": "201-794-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 JOHN ST STE 208",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242550",
            "telephone_number": "973-432-7230",
            "fax_number": "201-794-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-432-7230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00492800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Care Pharmacy Inc
• Bergen Foot & Ankle Group LLC
• Bergen Internal Medicine LLC
• Bergen Physical Therapy & Wellness, P.C.
• Bergen Physical Therapy, LLC
• Emile Tobias Berk, PH.D.
• Steven Bernstein, D.P.M
• Best Care NJ LLC
• Best Home Care Inc
• Best Home Care, Inc

• Clinical Psychologist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.