Provider Demographics
NPI:1073617684
Name:SAMANTHA J VIGNERI
Entity Type:Organization
Organization Name:SAMANTHA J VIGNERI
Other - Org Name:COMPREHENSIVE THERAPIES AND SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VIGNERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-869-8552
Mailing Address - Street 1:24891 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445-7747
Mailing Address - Country:US
Mailing Address - Phone:800-869-8552
Mailing Address - Fax:713-869-8564
Practice Address - Street 1:24891 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-7747
Practice Address - Country:US
Practice Address - Phone:800-869-8552
Practice Address - Fax:713-869-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0847840-01Medicaid
TX00R43ROtherBCBS
TXCB3577OtherRR MEDICARE
TX00R43ROtherBCBS