NPIMap

Organization Active NPI

Bergen Psychiatric Associates

  • Mental Health Counselor
  • Hackensack, NJ
National Provider Identifier
1922034305
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MA065065 Issued in NJ
Legal business name
BERGEN PSYCHIATRIC ASSOCIATES
Practice address
294 State St
Ste 2
Hackensack, NJ 07601-5518
Phone
(201) 342-4004
Fax
(201) 342-4208
NPI assigned
Jun 25, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mohsan Jan
Title
Billing Manager
Phone
(845) 821-2605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MA065065 NJ Primary

Addresses

Primary practice location

294 State St
Ste 2
Hackensack, NJ 07601-5518

Mailing address

PO Box 809
Teaneck, NJ 07666-0809
Phone (201) 342-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000505 NJ Part B Supplier - Clinic/Group Practice 6305758848 Receives reassigned benefits from 11 practitioners
Practice locations: Emerson, NJ; Hackensack, NJ

National Provider Directory

National Provider Directory
Tax ID family
Bergen Psychiatric Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

466 Old Hook Rd
Emerson, NJ 07630
Phone (201) 649-8100

466 Old Hook Rd
Ste 15
Emerson, NJ 07630
Phone (201) 342-4004

294 State St
#2
Hackensack, NJ 07601
Phone (201) 342-4004

608 Kinderkamack Rd
Ste 302
Oradell, NJ 07649
Phone (201) 342-4004

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1922034305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660809",
            "telephone_number": "201-342-4004",
            "fax_number": "201-342-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 STATE ST",
            "address_2": "STE 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015518",
            "telephone_number": "201-342-4004",
            "fax_number": "201-342-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "MOHSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "845-821-2605"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "MA065065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.