Bergen Behavioral Wellness Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00451800 Issued in NJ

Legal business name

BERGEN BEHAVIORAL WELLNESS ASSOCIATES, LLC

Practice address

169 Ramapo Valley Rd
Suite ML 7
Oakland, NJ 07436-2531

Phone

(201) 848-5578

Fax

(201) 848-5599

NPI assigned

Mar 23, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Ryna Cohen Lubow, LCSW, BCD, LMFT

Title

Pres.

Phone

(201) 848-5578

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1154620607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 RAMAPO VALLEY RD",
            "address_2": "SUITE ML 7",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362531",
            "telephone_number": "201-848-5578",
            "fax_number": "201-848-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RAMAPO VALLEY RD",
            "address_2": "SUITE ML 7",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362531",
            "telephone_number": "201-848-5578",
            "fax_number": "201-848-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN BEHAVIORAL WELLNESS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "LUBOW",
        "authorized_official_first_name": "RYNA",
        "authorized_official_middle_name": "COHEN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "201-848-5578",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, BCD, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00451800",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F1000075100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bancroft, a New Jersey Nonprofit Corporation
• Lydia Barbara, MD
• Matthew Todd Barber, DC
• Mark Barzola
• Glenn Beall, CPO
• Bergen Wellcare Solutions Inc.
• Alicia Bergen, COTA/L
• Natalie Joyce Berk-Terdiman, LCSW
• Bethesda Lutheran Communities
• Alyssa Grace Bevacqua

• Clinical Social Worker in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.