{"npi":"1750169561","type":"NPI-2","status":"active","name":{"display":"Bergen Cbt, LLC","other":[],"organization_name":"BERGEN CBT, LLC","authorised_official":"Kevin Giangrasso"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"44 GODWIN AVE","city":"MIDLAND PARK","state":"NJ","postal_code":"074321969","country_code":"US","phone":"2016321548"},{"purpose":"MAILING","street_1":"480 GORDON RD","city":"RIDGEWOOD","state":"NJ","postal_code":"074504620","country_code":"US","phone":"7186440639"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1548545411","state":"NY","issuer":null},{"type_code":"05","label":"Medicaid","value":"1265805972","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-09-21","last_updated":"2023-09-21","_meta":{"source":"NPPES","snapshot_date":"2023-09-21","doc_url":"https://findmynpi.com/api"}}