Baker Street Mind Health, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BAKER STREET MIND HEALTH, LLC

Practice address

12 Madison Ave Ste 306
Paramus, NJ 07652-2705

Phone

(201) 381-6136

Fax

(201) 660-8271

NPI assigned

Nov 9, 2023

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Galasso, PSYDNPI 1679897607

Title

President

Phone

(201) 381-6136

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Galasso, PSY.D

  • Clinical Psychologist
  • Franklin Lakes, NJ
  • NPI 1679897607
  Authorized official Same address or phone
• Nicole Costello, LCSW

  • Clinical Social Worker
  • Paramus, NJ
  • NPI 1770249807
  NPD
• Carrie Ditzel, PHD

  • Psychologist
  • Hasbrouck Heights, NJ
  • NPI 1093983850
  NPD (past)
• Daria Luongo, PSY.D., LPC, NCC

  • Counseling Psychologist
  • Nutley, NJ
  • NPI 1467935189
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1083488134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FRANKLIN LAKE RD STE 204",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172267",
            "telephone_number": "201-381-6136",
            "fax_number": "201-660-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MADISON AVE STE 306",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522705",
            "telephone_number": "201-381-6136",
            "fax_number": "201-660-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER STREET MIND HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "GALASSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-381-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Bahadurian, PH.D.
• Engin Bahce, LCSW
• Amina Yousaf Bajwa, MD
• Ghulam Murtaza Bajwa
• Eddita B Bakarr, MSN, FNP
• Robert Baklajian, M.D
• Rosine Baklayan
• Balance Lab Doctors of Physical Therapy, LLC
• Balanced Body Chiropractic Healthcare PC (Balanced Body Holistic Healthcare)
• Bald Eagle Drugs Inc (Bald Eagle Pharmacy)

• Psychiatry Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.