NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Moments

Psychologist in Ridgewood, NJ · enumerated 2021 · authorized official Ida Jeltova, Clinical Director.

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

National Provider Identifier

1396409645

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Great Moments
Practice address 88 W Ridgewood Ave, Ridgewood, NJ, 07450
Fax (800) 507-2456
Enumeration date Oct 22, 2021
Last updated in NPPES Nov 19, 2021

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

Authorized official

Name Ida Jeltova
Title Clinical Director

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Great Moments?
NPPES lists Ida Jeltova (Clinical Director) as the authorized official for this organization.
What is the NPI number for Great Moments?
The NPI for Great Moments is 1396409645, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-19.