| Comprehensive Psychiatric Services, Inc. | |
|
24400 Highpoint Rd Ste # 6 Comprehensive Psychiatric Services Inc Beachwood OH 44122-6054 | |
| (216) 831-6550 | |
| (216) 831-6133 |
| Full Name | Comprehensive Psychiatric Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 24400 Highpoint Rd, Beachwood, Ohio |
| Authorized Official Name and Position | Richard A Friedell (DIRECTOR) |
| Authorized Official Contact | 2168316550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychiatric Services, Inc. 24400 Highpoint Rd Ste # 6 Comprehensive Psychiatric Services Inc Beachwood OH 44122 Ph: (216) 831-6550 | Comprehensive Psychiatric Services, Inc. 24400 Highpoint Rd Ste # 6 Comprehensive Psychiatric Services Inc Beachwood OH 44122-6054 Ph: (216) 831-6550 |
| NPI Number | 1740393545 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 04/25/2012 |
| Medicare PECOS PAC ID | 5395710230 |
|---|---|
| Medicare Enrollment ID | O20040901001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740393545 | NPI | - | NPPES |
| 343179 | Other | OH | VALUE OPTIONS |
| 173750 | Other | OH | COMP PSYCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Luis F Ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366459950 PECOS PAC ID: 4688572043 Enrollment ID: I20031222000825 |
| Provider Name | Kenneth P Buzzelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972510568 PECOS PAC ID: 3274432307 Enrollment ID: I20040107000630 |
| Provider Name | Alice Miller Dub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205942729 PECOS PAC ID: 1850348301 Enrollment ID: I20050406000726 |
| Provider Name | Kathleen A Christy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821273012 PECOS PAC ID: 5799838330 Enrollment ID: I20090730000029 |
| Provider Name | Grace Herwig |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740476548 PECOS PAC ID: 6103972518 Enrollment ID: I20090925000221 |
| Provider Name | Dori Supan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063526846 PECOS PAC ID: 9638338072 Enrollment ID: I20120305000523 |
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