| Comprehensive Minds Llc | |
|
7500 Town Centre Dr Ste 300 Broadview Hts OH 44147-4048 | |
| (440) 554-0035 | |
| (440) 596-1178 |
| Full Name | Comprehensive Minds Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7500 Town Centre Dr Ste 300, Broadview Hts, Ohio |
| Authorized Official Name and Position | Sonia Praful Desai (PHYSICIAN) |
| Authorized Official Contact | 4405540035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Minds Llc 7500 Town Centre Dr Ste 300 Broadview Hts OH 44147-4048 Ph: (440) 554-0035 | Comprehensive Minds Llc 7500 Town Centre Dr Ste 300 Broadview Hts OH 44147-4048 Ph: (440) 554-0035 |
| NPI Number | 1659764249 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 1456679752 |
|---|---|
| Medicare Enrollment ID | O20220504001842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659764249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-125659 (Ohio) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Sonia Praful Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376702506 PECOS PAC ID: 4587980503 Enrollment ID: I20150417000257 |
| Provider Name | Traci A Kalpac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316185325 PECOS PAC ID: 4385793850 Enrollment ID: I20210513002985 |
| Provider Name | Krista Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356904296 PECOS PAC ID: 7315399631 Enrollment ID: I20240122004273 |
| Provider Name | Kayla Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750151874 PECOS PAC ID: 7618419458 Enrollment ID: I20240607000478 |
Season's Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 E Royalton Road #201, Suite 201, Broadview Hts, OH 44147 Phone: 216-716-7777 Fax: 216-716-7779 |