Bergen Psychotherapy Practice

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37PC00332400 Issued in NJ

Legal business name

BERGEN PSYCHOTHERAPY PRACTICE

Practice address

121 Cedar Lane
Suite 3D
Teaneck, NJ 07666

Phone

(201) 240-8043

Fax

(201) 648-2044

NPI assigned

Jan 7, 2014

Last updated

Jan 7, 2014By 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

Joon Eui Lee Sr., LPCNPI 1447390935

Title

Excutive Director

Phone

(201) 240-8043

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jooneui Lee, M.S.

  • Professional Counselor
  • Teaneck, NJ
  • NPI 1447390935
  NPD (past) Authorized official

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1437571742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN",
            "address_2": "SUITE 3D",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-240-8043",
            "fax_number": "201-648-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LANE",
            "address_2": "SUITE 3D",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-240-8043",
            "fax_number": "201-648-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PSYCHOTHERAPY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOON EUI",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-240-8043",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00332400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Infectious Diseases Associates Inc
• Bergen Medical Care LTD (Bergen Medical Care)
• Bergen Perinatal Associates, LLC
• Bergen Periodontics LLC
• Bergen Psychotherapy & Community Outreach, LLC
• Bergen Renal Care Center, LLC (Fresenius Medical Care Bergen Renal Care Center)
• Bergen Renal Home PD Center, LLC (Bergen Renal Home PD Center)
• Robert L Bergen, MD
• Bess Berger
• Edward H. Berger, PH.D.

• Community/Behavioral Health Agency in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.