Bergen Psychotherapy & Group, P.C.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

44SC00191800 Issued in NJ

Legal business name

BERGEN PSYCHOTHERAPY & GROUP, P.C.

Practice address

542 Clark Rd
Paramus, NJ 07652-5606

Phone

(201) 986-9872

Fax

(201) 986-0397

NPI assigned

Mar 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anna Krayn, PC

Title

President

Phone

(201) 986-9872

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.

• Richard A Rothman, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1184685125
  NPD (past)

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1861632960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 CLARK RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525606",
            "telephone_number": "201-986-9872",
            "fax_number": "201-986-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 CLARK RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525606",
            "telephone_number": "201-986-9872",
            "fax_number": "201-986-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PSYCHOTHERAPY & GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "KRAYN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-986-9872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "NJ",
            "license": "44SC00191800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Medical Center Multi Specialty Group, LLC
• Bergen Medical Imaging, LLC
• Bergen Medical Sports & Spine, Inc.
• Bergen Open MRI & Diagnostic Imaging Inc
• Bergen Pain Management PC
• Bergen Regional Anesthesiology Group PA
• Bergen Regional Medical Center
• Bergen Surgical Center
• Bergen Surgical Oncology, PA
• Bergen Womens Health Care LLC

• Psychoanalyst in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Psychoanalyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.