Bergen CBT, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BERGEN CBT, LLC

Practice address

44 Godwin Ave
Midland Park, NJ 07432-1969

Phone

(201) 632-1548

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Edward Giangrasso, PSY.D.NPI 1265805972

Title

President

Phone

(201) 632-1548

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Edward Arora Giangrasso, PSY.D.

  • Clinical Psychologist
  • Midland Park, NJ
  • NPI 1265805972
  NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1750169561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GORDON RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504620",
            "telephone_number": "718-644-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-632-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN CBT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GIANGRASSO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-632-1548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548545411",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265805972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Bauer
• Richard David Baum, MD
• Valerie Baumann, M.A. CCC-SLP
• Elizabeth Belfiore
• Steven D Belt, M.D.
• Bergen Smiles Dental Clinic, LLC
• Kelsey Oakes Bisson, LCSW
• Benjamin Isaac Bittman
• Jessica W Blume, MD
• Christine Rauscher Boi, RDN

• Psychologist in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.