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Bergen Psychiatric Care LLC

Child & Adolescent Psychiatry Physician in Ridgewood, NJ · enumerated 2017 · authorized official Mini Thomas, Ccrp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295255149

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Registry record

Entity type Organization (Type 2)
Legal business name Bergen Psychiatric Care LLC
Practice address 65 N Maple Ave Ste 104, Ridgewood, NJ, 07450
Fax (201) 288-5262
Enumeration date Jun 21, 2017
Last updated in NPPES Mar 18, 2019

Taxonomy & classification

2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mini Thomas
Title Ccrp

Other identifiers

Identifier Type State Issuer
25MA09523700 Other NJ STATE LICENCE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-03-18. Verify at npiregistry.cms.hhs.gov.
Where is Bergen Psychiatric Care LLC located?
The practice location on file with NPPES is in Ridgewood, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-18.