Igor Beregnoi, PHD, L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC00194 Issued in NJ

Practice address

2083 Center Ave
3H
Fort Lee, NJ 07024-7400

Phone

(201) 585-2334

Fax

(201) 585-2807

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Counseling Services of Northern New Jersey

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Lee, NJ
  • NPI 1336294230
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1669518924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 GREEN CHAPEL RD.",
            "city": "CRESCO",
            "state": "PA",
            "postal_code": "18326",
            "telephone_number": "570-730-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 CENTER AVE",
            "address_2": "3H",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247400",
            "telephone_number": "201-585-2334",
            "fax_number": "201-585-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREGNOI",
        "first_name": "IGOR",
        "credential": "PHD, L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "PC00194",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "8933",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-015152",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-000542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beer
• Yvharry Belange, LPN
• Bella Shapnik, MD, PA
• Louis Frank Bellotti, DMD
• Hany W Benjamin, RPH
• Bergen Care Pharmacy Inc
• Bergen Foot & Ankle Group LLC
• Bergen Internal Medicine LLC
• Bergen Physical Therapy & Wellness, P.C.
• Bergen Physical Therapy, LLC

• Professional Counselor in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.