Behaved Brain

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00437800 Issued in NJ

Legal business name

BEHAVED BRAIN

Practice address

216 Dayton St
Ridgewood, NJ 07450-4400

Phone

(201) 857-5380

Fax

(201) 857-5379

NPI assigned

Oct 6, 2016

Last updated

Oct 6, 2016By 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

Mrs. Kathryn R Gately, LPC

Title

Owner/Therapist

Phone

(201) 857-5380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1679023378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 DAYTON ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504400",
            "telephone_number": "201-857-5380",
            "fax_number": "201-857-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 DAYTON ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504400",
            "telephone_number": "201-857-5380",
            "fax_number": "201-857-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVED BRAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "GATELY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "201-857-5380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00437800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esra Baybagan
• George Lawrence Becker III, MD
• Nancy K Becker, OTR,CHT
• Shari A Becker, PH.D.
• William Becker
• Kazem Behnam, MD
• Melody Shahrzad Behnam, MD
• Susan Bell
• Khatuna Topadze Belov, MD
• David M Benderson, M.D.

• Mental Health Counselor in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.