| Organization Name: | NORTH JERSEY CENTER FOR COGNITIVE BEHAVIORAL THERAPY |
| NPI Number: | 1215242540 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TINA M SHERRY (DIRECTOR) |
| Mailing Address: | 385 Clinton Ave Wyckoff |
| State: | NJ US |
| Postal Code: | 074811934 |
| Phone Number: | 2016691369 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2010 |
| NPI Last Update Date: | 08/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 4344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |