GREAT MOMENTS
NPI 1396409645
Psychologist in Ridgewood, NJ

Active since October 22, 2021
88 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450(201) 757-0600(800) 507-2456 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2021, Oct 22, 2021 (2 updates tracked since 2021).

About Great Moments NPPES

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

GREAT MOMENTS (NPI 1396409645) is a healthcare organization registered as a psychologist in Ridgewood, New Jersey and active in the NPI registry since October 2021. The organization lists Ida Jeltova, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1396409645
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameGREAT MOMENTS
Location Address88 W RIDGEWOOD AVERidgewood, NJ 07450-3199
Mailing Address88 W Ridgewood AveRidgewood, NJ 07450-3199 · (201) 757-0600 · Fax (800) 507-2456
Fax(800) 507-2456
Organization SubpartNo
Authorized OfficialIda JeltovaClinical Director · (201) 757-0600
Enumeration DateOctober 22, 2021
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
NPI 1396409645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
88 W RIDGEWOOD AVE, Ridgewood, NJ 07450

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Dentist (General Practice)
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Dentist (General Practice)
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Psychiatry)
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Psychologist (Prescribing (Medical))
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Marriage & Family Therapist
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Social Worker (Clinical)
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Social Worker (Clinical)
88 W RIDGEWOOD AVE
RIDGEWOOD, NJ 07450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396409645, enumerated as an "organization" on October 22, 2021.

The provider is located at 88 W RIDGEWOOD AVE RIDGEWOOD, NJ 07450 and the phone number is (201) 757-0600.

Psychologist with taxonomy code 103T00000X.