PASCACK MENTAL HEALTH CENTER
NPI 1154526440
Counselor - Mental Health in Park Ridge, NJ

Active since June 18, 2007
114 KINDERKAMACK ROAD, PARK RIDGE, NJ 07656(201) 391-1355(201) 391-9516 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pascack Mental Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASCACK MENTAL HEALTH CENTER (NPI 1154526440) is a healthcare organization registered as a mental health in Park Ridge, New Jersey and active in the NPI registry since June 2007. The organization lists Jorge Becerra, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154526440
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePASCACK MENTAL HEALTH CENTER
Location Address114 KINDERKAMACK ROADPark Ridge, NJ 07656-2126
Mailing AddressPo Box 126, 114 Kinderkamack RoadPark Ridge, NJ 07656-2126 · (201) 391-1355 · Fax (201) 391-9516
Fax(201) 391-9516
Organization SubpartNo
Authorized OfficialJorge BecerraExecutive Director · (201) 391-1355
Enumeration DateJune 18, 2007
Last NPPES UpdateOctober 16, 2007
NPI 1154526440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSpecialistTaxonomy 174400000X
114 KINDERKAMACK ROAD, Park Ridge, NJ 07656

Other Identifiers 2

Medicare ID-Type Unspecified011178NJ · Group #
Medicaid0020303NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pascack Mental Health Center's NPI number?

The NPI number for Pascack Mental Health Center is 1154526440. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Pascack Mental Health Center located?

Pascack Mental Health Center is located at 114 Kinderkamack Road, Park Ridge, NJ 07656. The listed phone number is (201) 391-1355.

What is Pascack Mental Health Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Pascack Mental Health Center was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.